Provider Demographics
NPI:1801027289
Name:KARKI, NISHU
Entity Type:Individual
Prefix:DR
First Name:NISHU
Middle Name:
Last Name:KARKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20121 INTERIOR LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-4824
Mailing Address - Country:US
Mailing Address - Phone:917-562-2534
Mailing Address - Fax:
Practice Address - Street 1:7677 CENTER AVE STE 208
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-9102
Practice Address - Country:US
Practice Address - Phone:714-248-9068
Practice Address - Fax:714-766-6563
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA122424207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine