Individual
DR. SHISHIR A DHRUVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1335 BUENAVENTURA BLVD, SUITE 100, REDDING, CA 96001-0160
(530) 247-7246
(530) 245-0849
Mailing address
1335 BUENAVENTURA BLVD, STE 100, REDDING, CA 96001-0160
(530) 247-7246
(530) 245-0849
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
A43275
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A43275
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A043275
LICENSE #
CA
05
—
GR0055650
—
CA
Enumeration date
03/02/2006
Last updated
03/07/2023
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