Healthcare Provider Details

I. General information

NPI: 1063457620
Provider Name (Legal Business Name): DOCS MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2147 COURT ST
REDDING CA
96001-2531
US

IV. Provider business mailing address

PO BOX 994190
REDDING CA
96099-4190
US

V. Phone/Fax

Practice location:
  • Phone: 530-243-8667
  • Fax: 530-243-8742
Mailing address:
  • Phone: 530-243-4967
  • Fax: 530-243-8742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA94647
License Number StateCA

VIII. Authorized Official

Name: PIYUSH K DHANUKA
Title or Position: PRESIDENT
Credential: M.D
Phone: 530-243-8667