Individual
DR. ANITA SUSAN PAKULA
Active
Individual
DR. ANITA SUSAN PAKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G71177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205869625
CCS PANELED PROVIDER
CA
05
—
1205869625
—
CA
Enumeration date
07/09/2006
Last updated
05/21/2013
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