Padmanabhan, Chickkiah
Padmanabhan, Chickkiah is an individual health care provider with primary practice located at 44215 15Th Street West Suite 207, Lancaster CA 93534-5504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Padmanabhan, Chickkiah can be contacted via phone (661) 945-0886.Contact Information
Primary practice address
44215 15Th Street West Suite 207
Lancaster CA 93534-5504
Phone: (661) 945-0886
Fax: (661) 949-5331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A38887 | California |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A38887 | California |
Profile Details
| NPI number | 1700964657 |
|---|---|
| LBN Legal business name | Padmanabhan, Chickkiah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700964657 | NPPES |
| California | MEDICAID | 00A388870 |
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