Bhupal Kommineni, M.D. Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BHUPAL KOMMINENI, M.D. INC.

Practice address

1330 San Bernardino Rd
Suite G.
Upland, CA 91786-4928

Phone

(909) 981-0989

Fax

(909) 949-6214

NPI assigned

Sep 12, 2007

Last updated

Sep 12, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bhupal KommineniNPI 1457324808

Title

President

Phone

(909) 981-0989

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bhupal Kommineni, MD FACP

  • Internal Medicine Physician
  • Upland, CA
  • NPI 1457324808
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1508051566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SAN BERNARDINO RD",
            "address_2": "SUITE G.",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864928",
            "fax_number": "909-949-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SAN BERNARDINO RD",
            "address_2": "SUITE G.",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864928",
            "telephone_number": "909-981-0989",
            "fax_number": "909-949-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHUPAL KOMMINENI, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "KOMMINENI",
        "authorized_official_first_name": "BHUPAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-981-0989"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Upland, CA
• Providers in Upland, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.