Individual
MR. CHICKKIAH PADMANABHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44215 15TH STREET WEST, SUITE 207, LANCASTER, CA 93534-5504
(661) 945-0886
(661) 949-5331
Mailing address
44215 15TH STREET WEST, SUITE 207, LANCASTER, CA 93534-5504
(661) 945-0886
(661) 949-5331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A38887
CA
208D00000X
General Practice Physician
Primary
A38887
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A388870
—
CA
Enumeration date
11/01/2006
Last updated
09/11/2025
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