Individual
PROMILA DHANUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2145 COURT ST, REDDING, CA 96001-2531
(530) 247-1425
(530) 247-1533
Mailing address
PO BOX 994190, REDDING, CA 96099-4190
(530) 247-1425
(530) 247-1533
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A95171
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225094469
BLUE SHIELD
—
05
—
1225094469
—
CA
01
—
A95171
MEDICAL LICENSE NUMBER
CA
Enumeration date
04/25/2006
Last updated
05/16/2025
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