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NPI Code Detail

MEDICARE: DR. KHONDEKAR MUSTAQ ADNAN MD

MEDICARE: DR. KHONDEKAR MUSTAQ ADNAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramPTL20378CA

General Provider Information

NPI Number : 1215731195
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KHONDEKAR MUSTAQ ADNAN MD
Provider Business Mailing Address
First Line : 420 34TH ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-2237
Country : US
Telephone Number : 661-541-0225
Fax Number :
Provider Business Practice Location Address
First Line : 420 34TH ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-2237
Country : US
Telephone Number : 661-541-0225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2025
Last Update Date : 12/30/2025

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