Individual
ANINCHANA SANGKHARAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
465 W PUTNAM AVE, PORTERVILLE, CA 93257-3320
(559) 784-1110
Mailing address
PO BOX 190, SIMI VALLEY, CA 93062-0190
(805) 522-5940
(805) 522-6401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A8162
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX81620
—
CA
Enumeration date
11/07/2006
Last updated
08/16/2007
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