Kpab MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KPAB MD INC

Practice address

2332 Reo Dr
San Diego, CA 92139-3024

Phone

(619) 267-0553

NPI assigned

Aug 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kumara Prathipati, M.D.

Title

Ceo

Phone

(619) 715-5276

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1730468745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4276 54TH PLACE",
            "address_2": "SUITE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 REO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921393024",
            "telephone_number": "619-267-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPAB MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "PRATHIPATI",
        "authorized_official_first_name": "KUMARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-715-5276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliana L Kozin, BCH BAO
• Mary Lynne Koziorowski, CADC II
• Kelley Kozlowski
• Jade Marie Kozuch, PHARMD
• John Patrick Kozy, MD
• Hope Kraatz, RN
• Janine Rae Krachman, NP
• Laura Samantha Kraemer, MD
• Terry Ann Kraemer
• Heidi Kraft, PH.D., ABPP

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, 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 29, 2011; 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.