Individual provider · Type 1 NPI

Konni Granma, MD

Student in an Organized Health Care Education/Training Program · Bakersfield, CA

NPI number 1366283095 Active · reactivated Mar 3, 2025

Practice location

1700 Mount Vernon Avenua
Bakersfield, CA 93306

Call (661) 326-2201 Map

Mailing address

1700 Mount Vernon Avenue
Bakersfield, CA 93306

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X16339 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366283095

Konni Granma, MD's National Provider Identifier is 1366283095, issued on Jun 5, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bakersfield, CA. The record was last updated on Mar 3, 2025.