Basic Information
| Provider Information | |||||||||
| NPI: | 1215113535 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GIRI | ||||||||
| FirstName: | KAMINI | ||||||||
| MiddleName: | VEDHA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 432 STOCKHOLM ST | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | RIDGEWOOD | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113853354 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184568452 | ||||||||
| FaxNumber: | 7184864270 | ||||||||
| Practice Location | |||||||||
| Address1: | 1425 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | WALNUT CREEK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945965318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9252956344 | ||||||||
| FaxNumber: | 9252954597 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2008 | ||||||||
| LastUpdateDate: | 12/14/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A98640 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.