# KINSTEAD PROVIDER GROUP, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568338473
- **Authorized official:** DR. VIKRAM DEEPAK BAKHRU MD (PRESIDENT)
- **Authorized official phone:** (305) 998-0546

## Contact information

- **Practice address:** 400 E PRATT ST FL 8, BALTIMORE, MD 21202-3180
- **Practice address phone:** (305) 998-0546
- **Practice address fax:** (305) 414-0848
- **Mailing address:** 2332 GALIANO ST FL 2, CORAL GABLES, FL 33134-5402
- **Mailing address phone:** (305) 998-0546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/16/2025
- **Last updated:** 02/09/2026