Provider Demographics
| NPI: | 1861798332 |
|---|---|
| Name: | VAGHASIA, PRAMIL BABU (MD) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | PRAMIL |
| Middle Name: | BABU |
| Last Name: | VAGHASIA |
| 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: | 8333 BRIMHALL RD BLDG 1000 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BAKERSFIELD |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 93312-2243 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 661-695-6777 |
| Mailing Address - Fax: | 661-695-6767 |
| Practice Address - Street 1: | 8333 BRIMHALL RD BLDG 1000 |
| Practice Address - Street 2: | |
| Practice Address - City: | BAKERSFIELD |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 93312-2243 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 661-695-6777 |
| Practice Address - Fax: | 661-695-6767 |
| Is Sole Proprietor?: | Yes |
| Enumeration Date: | 2011-02-01 |
| Last Update Date: | 2024-11-12 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| CA | A137848 | 207RC0200X, 207RP1001X, 207R00000X, 207RP1001X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
| No | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
| No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |