Promila Dhanuka, M.D., Inc.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

A95171 Issued in CA

Legal business name

PROMILA DHANUKA, M.D., INC.

Practice address

2145 Court St
Redding, CA 96001-2531

Phone

(530) 247-1425

Fax

(530) 247-1533

NPI assigned

Jul 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Promila Dhanuka, M.D.

Title

President

Phone

(530) 247-1425

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBFDAA

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Piyush K Dhanuka, M.D.

  • Gastroenterology Physician
  • Redding, CA
  • NPI 1740230333
  NPD (past)
• Kyung Hee Kang, FNP

  • Family Nurse Practitioner
  • Redding, CA
  • NPI 1205683380
  NPD (past)
• Rebekah Malain, FNP-S

  • Family Nurse Practitioner
  • Redding, CA
  • NPI 1760361133
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1528099264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 994190",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960994190",
            "telephone_number": "530-247-1425",
            "fax_number": "530-247-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012531",
            "telephone_number": "530-247-1425",
            "fax_number": "530-247-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMILA DHANUKA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "DHANUKA",
        "authorized_official_first_name": "PROMILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-247-1425",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A95171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225094469",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00653547",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A95171",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hematology & Oncology Physician in Redding, CA
• Providers in Redding, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.