Individual
DR. DOMINIC M MACARANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 MALL DR, HANFORD, CA 93230-5786
(559) 537-1670
(559) 537-1678
Mailing address
11307 N VIA MILANO WAY, FRESNO, CA 93730-8840
(559) 449-3240
(559) 449-3240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-104602
IL
207R00000X
Internal Medicine Physician
C54002
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
C54002
CA
208M00000X
Hospitalist Physician
Primary
C54002
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361046022
—
IL
01
—
05532012
BCBS OF ILLINOIS
IL
Enumeration date
12/14/2005
Last updated
03/28/2023
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