Provider Demographics
NPI:1891879292
Name:PURI, HARI CHAND (MD)
Entity Type:Individual
Prefix:MR
First Name:HARI
Middle Name:CHAND
Last Name:PURI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 PURI CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-4820
Mailing Address - Country:US
Mailing Address - Phone:925-484-3366
Mailing Address - Fax:925-484-3769
Practice Address - Street 1:2243 MOWRY AVE STE F
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1630
Practice Address - Country:US
Practice Address - Phone:510-797-7766
Practice Address - Fax:510-797-0595
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA36386208000000X, 2080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF08678Medicare UPIN