Provider Demographics
NPI:1497907455
Name:REDDING RADIATION ONCOLOGISTS PC
Entity Type:Organization
Organization Name:REDDING RADIATION ONCOLOGISTS PC
Other - Org Name:GENESISCARE REDDING ONCOLOGY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RIZWAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:NURANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-503-5910
Mailing Address - Street 1:PO BOX 10297
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-0297
Mailing Address - Country:US
Mailing Address - Phone:661-249-6634
Mailing Address - Fax:661-249-3480
Practice Address - Street 1:963 BUTTE ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0828
Practice Address - Country:US
Practice Address - Phone:530-245-7234
Practice Address - Fax:530-245-5909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADO7516OtherRAILROAD MEDICARE
CADO7516OtherRAILROAD MEDICARE