Healthcare Provider Details

I. General information

NPI: 1386220630
Provider Name (Legal Business Name): VALLEY NEWBORN ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12000 GAZEBO CT
BAKERSFIELD CA
93311-8759
US

IV. Provider business mailing address

12000 GAZEBO CT
BAKERSFIELD CA
93311-8759
US

V. Phone/Fax

Practice location:
  • Phone: 662-721-6428
  • Fax:
Mailing address:
  • Phone: 662-721-6428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MADHUSUDHAN PABBATHI
Title or Position: MD AND OWNER
Credential: MD
Phone: 662-721-6428