Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A36386 | CA |
N | 2080P0210X | Pediatric Nephrologist | A36386 | CA |
NPI | 1891879292 |
---|---|
Provider Name | Mr. Hari Chand Puri |
First Address | Pleasanton, CA 94588-4820 |
Second Address | Fremont, CA 94538-1630 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F08678 | (02) | CA |