Organization
BAKERSFIELD INTERNAL MEDICINE ASSOCIATES A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHARLES DOUGHERTY M.D. (PRESIDENT)
(661) 323-6102
Entity
Organization
Contact information
Practice address
3900 SAN DIMAS ST, BAKERSFIELD, CA 93301-1458
(661) 323-6102
(661) 323-6113
Mailing address
3900 SAN DIMAS ST, BAKERSFIELD, CA 93301-1458
(661) 323-6102
(661) 323-6113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G47681
CA
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
G47681
CA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
G47681
CA
207RC0000X
Cardiovascular Disease Physician
G47681
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G47681
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
G47681
CA
207RG0100X
Gastroenterology Physician
G47681
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
G47681
CA
207RH0003X
Hematology & Oncology Physician
G47681
CA
207RI0008X
Hepatology Physician
G47681
CA
207RI0200X
Infectious Disease Physician
G47681
CA
207RN0300X
Nephrology Physician
G47681
CA
207RP1001X
Pulmonary Disease Physician
G47681
CA
207RR0500X
Rheumatology Physician
G47681
CA
207RS0010X
Sports Medicine (Internal Medicine) Physician
G47681
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G476810
MEDICAL
CA
Enumeration date
07/21/2006
Last updated
01/17/2014
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