Individual
DR. JOHN NADAKAVUKARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
465 W PUTNAM AVE, PORTERVILLE, CA 93257-3320
(559) 791-4745
Mailing address
2635 G ST, BAKERSFIELD, CA 93301-2813
(661) 633-1500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A74532
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A745320
—
CA
Enumeration date
12/11/2006
Last updated
02/13/2013
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