Challakere, Kedarnath Krishnamurthy

Challakere, Kedarnath Krishnamurthy is an sole proprietor health care provider with primary practice located at 400 N Pepper Ave , Colton CA 92324-1801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Challakere, Kedarnath Krishnamurthy can be contacted via phone (415) 305-7019.

Contact Information

Primary practice address
400 N Pepper Ave Colton CA 92324-1801
Phone: (415) 305-7019
Fax: (415) 366-2025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X A45337 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A45337 California

Profile Details

NPI number 1972610335
LBN Legal business name Challakere, Kedarnath Krishnamurthy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2006
Last updated Feb 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972610335 NPPES
California MEDICAID 00A453370

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