Provider Demographics
NPI:1457886616
Name:BEN ABRAHAM, KARUNDRA (PHARM D)
Entity Type:Individual
Prefix:
First Name:KARUNDRA
Middle Name:
Last Name:BEN ABRAHAM
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:KARUNDRA
Other - Middle Name:
Other - Last Name:BEN ABRAHAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARM D
Mailing Address - Street 1:2300 MIDDLEFIELD RD
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-2854
Mailing Address - Country:US
Mailing Address - Phone:650-568-4049
Mailing Address - Fax:
Practice Address - Street 1:2300 MIDDLEFIELD RD
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-2882
Practice Address - Country:US
Practice Address - Phone:650-568-4049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-25
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74044183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist