Provider Demographics
NPI:1013988583
Name:SHEKAR, KOTA CHANDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:KOTA
Middle Name:CHANDRA
Last Name:SHEKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6501 TRUXTUN AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0633
Mailing Address - Country:US
Mailing Address - Phone:661-322-2206
Mailing Address - Fax:661-327-7027
Practice Address - Street 1:1310 LAS TABLAS RD
Practice Address - Street 2:SUITE 204
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-9737
Practice Address - Country:US
Practice Address - Phone:805-434-0333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2010-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA51899207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA51899OtherSTATE LICENSE
CA00A518991Medicaid
CABB293WMedicare PIN
CAA51899OtherSTATE LICENSE