Organization
KINSTEAD PROVIDER GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKRAM DEEPAK BAKHRU MD (PRESIDENT)
(305) 998-0546
Entity
Organization
Contact information
Practice address
400 E PRATT ST FL 8, BALTIMORE, MD 21202-3180
(305) 998-0546
(305) 414-0848
Mailing address
2332 GALIANO ST FL 2, CORAL GABLES, FL 33134-5402
(305) 998-0546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/16/2025
Last updated
02/09/2026
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