Provider Demographics
NPI:1558812958
Name:KARKI, PUJA (CRNA)
Entity Type:Individual
Prefix:
First Name:PUJA
Middle Name:
Last Name:KARKI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 N ROXBURY DR STE 240
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4240
Mailing Address - Country:US
Mailing Address - Phone:310-651-2040
Mailing Address - Fax:310-651-2042
Practice Address - Street 1:450 N ROXBURY DR STE 240
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210
Practice Address - Country:US
Practice Address - Phone:310-651-2040
Practice Address - Fax:310-651-2042
Is Sole Proprietor?:No
Enumeration Date:2016-10-20
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANA95000589367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered