Healthcare Provider Details

I. General information

NPI: 1366680530
Provider Name (Legal Business Name): RANJANI PANITHI MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2009
Last Update Date: 04/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9802 STOCKDALE HWY. SUITE #103
BAKERSFIELD CA
93311-3653
US

IV. Provider business mailing address

9802 STOCKDALE HWY SUITE #103
BAKERSFIELD CA
93311-3652
US

V. Phone/Fax

Practice location:
  • Phone: 661-663-4444
  • Fax: 661-663-4100
Mailing address:
  • Phone: 661-663-4444
  • Fax: 661-663-4100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number42857
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: