Provider Demographics
NPI:1891192696
Name:DABU, JOAN (MD)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:DABU
Suffix:
Gender:F
Credentials:MD
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:39000 BOB HOPE DRIVE
Mailing Address - Street 2:WRIGHT BLDG STE 201
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3221
Mailing Address - Country:US
Mailing Address - Phone:760-834-3564
Mailing Address - Fax:760-773-1605
Practice Address - Street 1:39000 BOB HOPE DRIVE
Practice Address - Street 2:WRIGHT BLDG STE 201
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3221
Practice Address - Country:US
Practice Address - Phone:760-834-3564
Practice Address - Fax:760-773-1605
Is Sole Proprietor?:No
Enumeration Date:2014-11-24
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
CAA150418207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine