RALPH BAILEY HANAHAN M.D. NPI 1801986641

NPI Information

NPI: 1801986641
Provider Name: RALPH BAILEY HANAHAN, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
3555 ROUND BARN CIR
SANTA ROSA, CA
ZIP 95403
Phone: (707) 522-6875
Get Directions

Ralph Bailey Hanahan, M.D. is a radiation oncology radiology in Santa Rosa, CA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Ralph Bailey Hanahan, M.D. NPI is 1801986641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3555 ROUND BARN CIR
SANTA ROSA, CA
ZIP 95403-757
Phone: (707) 522-6875
Fax: (707) 576-0445

The NPI 1801986641 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	C30500	CALIFORNIA	Yes
2	2085R0203X	Radiology	Therapeutic Radiology	C30500	CALIFORNIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00C305000	MEDICARE ID-TYPE UNSPECIFIED
2	A34281	MEDICARE UPIN
3	00C305000	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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