Provider Demographics
NPI:1073384426
Name:APEX HEALTHCARE OF BAKERSFIELD INC
Entity Type:Organization
Organization Name:APEX HEALTHCARE OF BAKERSFIELD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AKHILDEEP
Authorized Official - Middle Name:VENKATA
Authorized Official - Last Name:PUSKOOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-477-3775
Mailing Address - Street 1:11806 HARRINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9277
Mailing Address - Country:US
Mailing Address - Phone:240-477-3775
Mailing Address - Fax:
Practice Address - Street 1:11806 HARRINGTON ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9277
Practice Address - Country:US
Practice Address - Phone:240-477-3775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty