| Seven Oaks Medical Group Inc | |
|
9900 Stockdale Hwy Ste 107 Bakersfield CA 93311-3633 | |
| (661) 664-0600 | |
| (661) 664-0621 |
| Full Name | Seven Oaks Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9900 Stockdale Hwy Ste 107, Bakersfield, California |
| Authorized Official Name and Position | Pankaj Shukla (OWNER) |
| Authorized Official Contact | 6619004140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seven Oaks Medical Group Inc Po Box 20160 Bakersfield CA 93390-0160 Ph: (661) 664-0600 | Seven Oaks Medical Group Inc 9900 Stockdale Hwy Ste 107 Bakersfield CA 93311-3633 Ph: (661) 664-0600 |
| NPI Number | 1083328587 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/09/2023 |
| Medicare PECOS PAC ID | 2163894346 |
|---|---|
| Medicare Enrollment ID | O20230216001788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083328587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Pankaj Shukla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114937190 PECOS PAC ID: 3476442062 Enrollment ID: I20040311001488 |
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