Provider Demographics
NPI:1033082011
Name:VK MEDICAL GROUP INC
Entity type:Organization
Organization Name:VK MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:HARIKRISHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-571-9333
Mailing Address - Street 1:16359 BROOK LN
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-6010
Mailing Address - Country:US
Mailing Address - Phone:408-571-9333
Mailing Address - Fax:
Practice Address - Street 1:16359 BROOK LN
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-6010
Practice Address - Country:US
Practice Address - Phone:408-571-9333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty