MEDICARE: PIYUSH K DHANUKA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	A94647	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00326222	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	204809365	OTHER	CA	BLUE CROSS
4	00A946470	OTHER		BLUE SHIELD

General Provider Information

NPI Number	:	1740230333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PIYUSH K DHANUKA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 994190
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96099-4190
Country	:	US
Telephone Number	:	530-243-8667
Fax Number	:	530-243-8742

Provider Business Practice Location Address
First Line	:	2147 COURT ST
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96001-2531
Country	:	US
Telephone Number	:	530-243-8667
Fax Number	:	530-243-8742

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	12/23/2025

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