Provider Demographics
NPI:1033365796
Name:TAKHAR, HERNAKE S (OD)
Entity Type:Individual
Prefix:DR
First Name:HERNAKE
Middle Name:S
Last Name:TAKHAR
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1705 BRIERCLIFF CT
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-8504
Mailing Address - Country:US
Mailing Address - Phone:661-747-6226
Mailing Address - Fax:661-871-8395
Practice Address - Street 1:4725 PANAMA LN
Practice Address - Street 2:UNIT D11
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-3434
Practice Address - Country:US
Practice Address - Phone:661-397-2020
Practice Address - Fax:661-206-4030
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA13623152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist