Provider Demographics
NPI:1164085791
Name:NISHU KARKI, M. D., A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:NISHU KARKI, M. D., A PROFESSIONAL CORPORATION
Other - Org Name:BELLA TERRA PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NISHU
Authorized Official - Middle Name:
Authorized Official - Last Name:KARKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-248-9068
Mailing Address - Street 1:7677 CENTER AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-9102
Mailing Address - Country:US
Mailing Address - Phone:714-248-9068
Mailing Address - Fax:714-766-6563
Practice Address - Street 1:7677 CENTER AVE STE 208
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-9102
Practice Address - Country:US
Practice Address - Phone:714-248-9068
Practice Address - Fax:714-766-6563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty