Organization
PROMILA DHANUKA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROMILA DHANUKA M.D. (PRESIDENT)
(530) 247-1425
Entity
Organization
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
05
—
1225094469
—
CA
01
—
A95171
MEDICAL LICENSE
CA
01
—
P00653547
RAILROAD MEDICARE
CA
Enumeration date
07/05/2006
Last updated
02/20/2013
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