Provider Demographics
NPI:1841430758
Name:KANURI, SANTHI (MD)
Entity Type:Individual
Prefix:DR
First Name:SANTHI
Middle Name:
Last Name:KANURI
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 1:2828 H ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1900
Mailing Address - Country:US
Mailing Address - Phone:661-325-2015
Mailing Address - Fax:
Practice Address - Street 1:2828 H ST
Practice Address - Street 2:SUITE F
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1900
Practice Address - Country:US
Practice Address - Phone:661-325-2015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-05
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA105401207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine