Individual
DAKANE A. BILLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6555 COYLE AVENUE, CARMICHAEL, CA 95608
(916) 537-5000
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A96256
CA
208M00000X
Hospitalist Physician
Primary
A96256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810816167
PHCS
CA
01
—
00A962560
BLUE SHIELD
CA
05
—
00A962560
—
CA
01
—
132691
HEALTH NET
CA
01
—
2091310
GREAT WEST
CA
01
—
2440269
CIGNA
CA
01
—
2690818
UNITED
CA
01
—
457412
INTERPLAN
CA
01
—
5716504
FIRST HEALTH
CA
01
—
7700878
AETNA
CA
01
—
90205607
PACIFICARE
CA
01
—
A96256
BLUE CROSS
CA
01
—
MCMG487600
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
09/26/2006
Last updated
02/09/2012
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