| Docs Medical Group Inc | |
|
2510 Airpark Dr Suite 102 Redding CA 96001-2449 | |
| (530) 243-8667 | |
| (530) 243-8742 |
| Full Name | Docs Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2510 Airpark Dr, Redding, California |
| Authorized Official Name and Position | Piyush K Dhanuka (PRESIDENT) |
| Authorized Official Contact | 5302438667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Docs Medical Group Inc Po Box 994190 Redding CA 96099-4190 Ph: (530) 243-4967 | Docs Medical Group Inc 2510 Airpark Dr Suite 102 Redding CA 96001-2449 Ph: (530) 243-8667 |
| NPI Number | 1063457620 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 07/29/2013 |
| Medicare PECOS PAC ID | 9931112075 |
|---|---|
| Medicare Enrollment ID | O20060713000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063457620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A94647 (California) | Primary |
| Provider Name | John E Nepomuceno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477673770 PECOS PAC ID: 9335035708 Enrollment ID: I20040225000245 |
| Provider Name | Joanna K Ramseyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588778815 PECOS PAC ID: 6608775713 Enrollment ID: I20041112000870 |
| Provider Name | Richard P Musselman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184686313 PECOS PAC ID: 5698702728 Enrollment ID: I20050720000890 |
| Provider Name | Albert Gordon Lui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306890025 PECOS PAC ID: 1557377595 Enrollment ID: I20060228000343 |
| Provider Name | Piyush K Dhanuka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740230333 PECOS PAC ID: 5294748331 Enrollment ID: I20060713000178 |
| Provider Name | Promila Dhanuka |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225094469 PECOS PAC ID: 2264436740 Enrollment ID: I20060914000611 |
| Provider Name | Michael L Farley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396754925 PECOS PAC ID: 1759303100 Enrollment ID: I20061024000608 |
| Provider Name | Danny E Drew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881747046 PECOS PAC ID: 8426136037 Enrollment ID: I20080423000263 |
| Provider Name | Maria M Nicora Bia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174785489 PECOS PAC ID: 9133272156 Enrollment ID: I20090807000517 |
| Provider Name | Mary K Paradis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083967269 PECOS PAC ID: 5092968610 Enrollment ID: I20130110000335 |
| Provider Name | Tollin K Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922387091 PECOS PAC ID: 5294954863 Enrollment ID: I20140912001118 |
| Provider Name | Dorris Mendonca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174069306 PECOS PAC ID: 4789960170 Enrollment ID: I20170419002800 |
| Provider Name | Sanjiwani Meharda |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1104108109 PECOS PAC ID: 5193955268 Enrollment ID: I20170612000460 |
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