Healthcare Provider Details

I. General information

NPI: 1447591888
Provider Name (Legal Business Name): RADHA DHOKIA CPO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2013
Last Update Date: 04/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2023 TRUXTUN AVE
BAKERSFIELD CA
93301
US

IV. Provider business mailing address

2023 TRUXTUN AVE
BAKERSFIELD CA
93301-5012
US

V. Phone/Fax

Practice location:
  • Phone: 661-281-2127
  • Fax: 661-281-2126
Mailing address:
  • Phone: 661-281-2127
  • Fax: 661-281-2126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License NumberC51269
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: