Provider Demographics
NPI:1952425936
Name:KANKAR, PADMAJA REDDY (MD)
Entity type:Individual
Prefix:
First Name:PADMAJA
Middle Name:REDDY
Last Name:KANKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PADMAJA
Other - Middle Name:
Other - Last Name:MOSALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS
Mailing Address - Street 1:1611 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-2901
Mailing Address - Country:US
Mailing Address - Phone:661-336-5300
Mailing Address - Fax:661-336-5303
Practice Address - Street 1:1611 1ST ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-2901
Practice Address - Country:US
Practice Address - Phone:661-336-5300
Practice Address - Fax:661-336-5303
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98001208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics