Provider Demographics
NPI:1457783938
Name:NEPHROLOGY MEDICAL GROUP OF BAKERSFIELD INC
Entity Type:Organization
Organization Name:NEPHROLOGY MEDICAL GROUP OF BAKERSFIELD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARJEET
Authorized Official - Middle Name:KIDNEY
Authorized Official - Last Name:BRAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-396-7100
Mailing Address - Street 1:PO BOX 80484
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93380-0484
Mailing Address - Country:US
Mailing Address - Phone:661-322-2070
Mailing Address - Fax:661-322-2330
Practice Address - Street 1:3933 COFFEE RD
Practice Address - Street 2:SUITE B
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-5024
Practice Address - Country:US
Practice Address - Phone:661-322-2070
Practice Address - Fax:661-322-2330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-06
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty