Provider Demographics
NPI:1578918199
Name:SOMANI, MANISH
Entity Type:Individual
Prefix:MR
First Name:MANISH
Middle Name:
Last Name:SOMANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5645 AUBURN ST
Mailing Address - Street 2:#B
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-2870
Mailing Address - Country:US
Mailing Address - Phone:661-871-8881
Mailing Address - Fax:661-871-8880
Practice Address - Street 1:5645 AUBURN ST
Practice Address - Street 2:#B
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-2870
Practice Address - Country:US
Practice Address - Phone:661-871-8881
Practice Address - Fax:661-871-8880
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH457971835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist