Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | A51899 | CA |
NPI | 1013988583 |
---|---|
Provider Name | Dr. Kota Chandra Shekar |
First Address | Bakersfield, CA 93309-0633 |
Second Address | Templeton, CA 93465-9737 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2006 |
Last Update Date | 12/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A518991 | (05) | CA |
A51899 | STATE LICENSE (01) | CA |
G41317 | (02) | CA |