Provider Demographics
NPI:1780215780
Name:KARUNA MD LLC
Entity Type:Organization
Organization Name:KARUNA MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YASHODA
Authorized Official - Middle Name:
Authorized Official - Last Name:BHASKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-989-6318
Mailing Address - Street 1:75-5660 KOPIKO ST STE C7
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-3122
Mailing Address - Country:US
Mailing Address - Phone:808-757-9292
Mailing Address - Fax:
Practice Address - Street 1:65-1241 POMAIKAI PL STE 6
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-7311
Practice Address - Country:US
Practice Address - Phone:808-757-9292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2020-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center