Provider Demographics
NPI:1063823136
Name:KARHADE, KAVERI (MD)
Entity Type:Individual
Prefix:
First Name:KAVERI
Middle Name:
Last Name:KARHADE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 INFINITY WAY APT 2349
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-5323
Mailing Address - Country:US
Mailing Address - Phone:248-703-6933
Mailing Address - Fax:
Practice Address - Street 1:100 ARCH ST STE 1
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-1381
Practice Address - Country:US
Practice Address - Phone:650-530-1252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-12
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA163628207N00000X
NY292564207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RILP03418OtherLIFESPAN