Basic Information
Provider Information
NPI: 1134232572
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ANUCHA
FirstName: CHIBUIKE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 10154
Address2:  
City: BAKERSFIELD
State: CA
PostalCode: 933890154
CountryCode: US
TelephoneNumber: 6616371006
FaxNumber: 6616371020
Practice Location
Address1: 608 34TH ST
Address2:  
City: BAKERSFIELD
State: CA
PostalCode: 933012208
CountryCode: US
TelephoneNumber: 6618453731
FaxNumber: 6618451157
Other Information
ProviderEnumerationDate: 08/17/2006
LastUpdateDate: 01/26/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XA89094CAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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