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NPI Code Detail

MEDICARE: PROMILA DHANUKA M.D.

MEDICARE: PROMILA 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
1207RH0003XHematology & Oncology PhysicianA95171CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A95171OTHERCAMEDICAL LICENSE NUMBER
21225094469OTHERBLUE SHIELD
31225094469OTHERBLUE CROSS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225094469
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROMILA 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 : 530-247-1425
Fax Number : 530-247-1533
Provider Business Practice Location Address
First Line : 2145 COURT ST
Second Line :
City : REDDING
State : CA
Zip : 96001-2531
Country : US
Telephone Number : 530-247-1425
Fax Number : 530-247-1533
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 05/16/2025

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Directions to “ PROMILA DHANUKA M.D.” Practice Location

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