Provider Demographics
NPI:1629237045
Name:KUNHI VEEDU, HARI PRASAD (MD)
Entity Type:Individual
Prefix:
First Name:HARI PRASAD
Middle Name:
Last Name:KUNHI VEEDU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 976
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93302-0976
Mailing Address - Country:US
Mailing Address - Phone:216-904-1127
Mailing Address - Fax:
Practice Address - Street 1:3838 SAN DIMAS ST STE A140
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1151
Practice Address - Country:US
Practice Address - Phone:661-632-7126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1331402084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology