Provider Demographics
NPI:1831359108
Name:GHAI, VIKAS (MD)
Entity type:Individual
Prefix:
First Name:VIKAS
Middle Name:
Last Name:GHAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 CHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-2015
Mailing Address - Country:US
Mailing Address - Phone:616-323-4673
Mailing Address - Fax:
Practice Address - Street 1:2620 CHESTER AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2015
Practice Address - Country:US
Practice Address - Phone:616-323-4673
Practice Address - Fax:323-869-6959
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA123861207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology