Individual
DR. AKHILDEEP VENKATA PUSKOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 STOCKDALE HWY STE 203, BAKERSFIELD, CA 93311-3621
(661) 587-8110
(661) 587-8220
Mailing address
3400 DATA DR, ATTN CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301110119
MI
208M00000X
Hospitalist Physician
Primary
A155027
CA
Other
Enumeration date
05/14/2013
Last updated
12/23/2021
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