Individual
DR. RENUKA DULALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
575 BEECH ST, HOLYOKE, MA 01040-2223
(413) 534-2543
(413) 534-2655
Mailing address
575 BEECH ST, HOLYOKE, MA 01040-2223
(413) 534-2543
(413) 534-2655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
038811
CT
207R00000X
Internal Medicine Physician
258935
MA
207RH0000X
Hematology (Internal Medicine) Physician
258935
MA
207RH0003X
Hematology & Oncology Physician
038811
CT
207RH0003X
Hematology & Oncology Physician
Primary
258935
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001388116
—
CT
01
—
010038811CT02
BLUE CROSS/BLUE SHIELD
CT
Enumeration date
06/10/2008
Last updated
02/13/2015
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