Individual
DR. CINDERELLA CHAVEZ RADU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
399 E HIGHLAND AVE, SUITE 201, SAN BERNARDINO, CA 92404-3808
(909) 886-1900
(909) 886-1910
Mailing address
399 E HIGHLAND AVE, SUITE 201, SAN BERNARDINO, CA 92404-3808
(909) 886-1900
(909) 886-1910
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
04-35696
KS
207RH0003X
Hematology & Oncology Physician
Primary
C145467
CA
207RX0202X
Medical Oncology Physician
04-35696
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016701009
MEDICARE PTAN
KS
05
—
200485260A
—
OK
05
—
200966240
—
KS
Enumeration date
01/05/2009
Last updated
11/22/2021
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