Individual
MRS. ANAMIKA SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
9900 STOCKDALE HWY STE 107, BAKERSFIELD, CA 93311-3633
(661) 664-0600
(661) 664-0621
Mailing address
PO BOX 20160, BAKERSFIELD, CA 93390-0160
(661) 664-0600
(661) 664-0621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-C16816
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PA168160
LICENSE
CA
Enumeration date
03/14/2008
Last updated
03/17/2010
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