Provider Demographics
NPI:1689604399
Name:BAKSHI, VIHARIKA KIRAN (MD)
Entity Type:Individual
Prefix:DR
First Name:VIHARIKA
Middle Name:KIRAN
Last Name:BAKSHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2057 ROUTE 130
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-3801
Mailing Address - Country:US
Mailing Address - Phone:724-527-0991
Mailing Address - Fax:724-527-0990
Practice Address - Street 1:2057 ROUTE 130
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-3801
Practice Address - Country:US
Practice Address - Phone:724-527-0991
Practice Address - Fax:724-527-0990
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019987E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009805750006Medicaid
PAB41401Medicare UPIN
PA501756U31Medicare PIN