Provider Demographics
NPI:1306209937
Name:JAKHARIA, KUNAL K
Entity Type:Individual
Prefix:DR
First Name:KUNAL
Middle Name:K
Last Name:JAKHARIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CB# 7020, 130 MASON ROAD BIOINFORMATICS BUILDING
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-966-2533
Mailing Address - Fax:919-966-7013
Practice Address - Street 1:CB# 7020, 130 MASON ROAD BIOINFORMATICS BUILDING
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-3017
Practice Address - Country:US
Practice Address - Phone:919-966-2533
Practice Address - Fax:919-966-7013
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-31
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC2019-02918207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program