Provider Demographics
NPI:1154076818
Name:KURAMED MEDICAL GROUP,APC
Entity Type:Organization
Organization Name:KURAMED MEDICAL GROUP,APC
Other - Org Name:KURAMED MOBILE GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHITKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ARDESHANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-544-1782
Mailing Address - Street 1:4795 HOLT BLVD # 211
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-4714
Mailing Address - Country:US
Mailing Address - Phone:909-544-1782
Mailing Address - Fax:909-614-8548
Practice Address - Street 1:4795 HOLT BLVD # 210
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-4714
Practice Address - Country:US
Practice Address - Phone:909-544-1782
Practice Address - Fax:909-614-8548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-21
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty