Healthcare Provider Details

I. General information

NPI: 1831534932
Provider Name (Legal Business Name): ANNA SMITHA CHERIYAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA BABU M.D.

II. Dates (important events)

Enumeration Date: 05/02/2013
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 1ST ST
BAKERSFIELD CA
93304-2901
US

IV. Provider business mailing address

1611 1ST ST
BAKERSFIELD CA
93304-2901
US

V. Phone/Fax

Practice location:
  • Phone: 661-336-5300
  • Fax: 661-336-5303
Mailing address:
  • Phone: 661-336-5300
  • Fax: 661-336-5303

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 StatePA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD458994
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA156062
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: