Healthcare Provider Details

I. General information

NPI: 1497907455
Provider Name (Legal Business Name): REDDING RADIATION ONCOLOGISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

963 BUTTE ST
REDDING CA
96001-0828
US

IV. Provider business mailing address

PO BOX 10297
BAKERSFIELD CA
93389-0297
US

V. Phone/Fax

Practice location:
  • Phone: 530-245-7234
  • Fax: 530-245-5909
Mailing address:
  • Phone: 661-249-6634
  • Fax: 661-249-3480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: RIZWAN D NURANI
Title or Position: PRESIDENT
Credential: MD
Phone: 760-503-5910