Provider Demographics
NPI:1114434511
Name:POKHREL, DDS, INC.
Entity type:Organization
Organization Name:POKHREL, DDS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SRIJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:POKHREL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-513-8150
Mailing Address - Street 1:153 N SAN MATEO DR APT 102
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-2773
Mailing Address - Country:US
Mailing Address - Phone:267-872-1535
Mailing Address - Fax:
Practice Address - Street 1:254 5TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-4116
Practice Address - Country:US
Practice Address - Phone:917-513-8150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-08
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65313261QD0000X
261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental