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NPI Code Detail

MEDICARE: HEMLATA KIRAN KUNDARGI

MEDICARE: HEMLATA KIRAN KUNDARGI
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
1133V00000XRegistered Dietitian86066307CA

General Provider Information

NPI Number : 1659873701
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEMLATA KIRAN KUNDARGI
Provider Business Mailing Address
First Line : 10890 SANTA TERESA DR
Second Line :
City : CUPERTINO
State : CA
Zip : 95014-4725
Country : US
Telephone Number : 408-306-6896
Fax Number :
Provider Business Practice Location Address
First Line : 20555 PROSPECT RD
Second Line :
City : CUPERTINO
State : CA
Zip : 95014-5212
Country : US
Telephone Number : 408-306-6896
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2018
Last Update Date : 03/05/2018

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Directions to “ HEMLATA KIRAN KUNDARGI ” Practice Location

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