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NPI Code Detail

MEDICARE: KERAN PARKASH RAJU FNP

MEDICARE:   KERAN PARKASH RAJU  FNP
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
1363LF0000XFamily Nurse Practitioner95002738CA

General Provider Information

NPI Number : 1932895349
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERAN PARKASH RAJU FNP
Provider Business Mailing Address
First Line : 2614 TAMPICO DR
Second Line :
City : BAY POINT
State : CA
Zip : 94565-7699
Country : US
Telephone Number : 925-642-2924
Fax Number :
Provider Business Practice Location Address
First Line : 2614 TAMPICO DR
Second Line :
City : BAY POINT
State : CA
Zip : 94565-7699
Country : US
Telephone Number : 925-642-2924
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2023
Last Update Date : 04/18/2023

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Directions to “ KERAN PARKASH RAJU FNP” Practice Location

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