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RENEE DUA M.D. NPI 1154436707


NPI Profile

NPI: 1154436707
Provider Name: RENEE DUA, M.D.
Classification:Specialist - 174400000X
Entity Type: Individual
Organization: SOHAN L. DUA M.D.

PECOS Registration: Yes

Address:
18350 ROSCOE BLVD
SUITE 604
NORTHRIDGE, CA
ZIP 91325
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Phone: (818) 886-5827

Renee Dua, M.D. is a specialist in Northridge, CA with 21 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Renee Dua, M.D. NPI is 1154436707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduation Year:2000

The provider's business location address is:

18350 ROSCOE BLVD
SUITE 604
NORTHRIDGE, CA
ZIP 91325-109
Phone: (818) 886-5827

The NPI 1154436707 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Home dialysis services per month, patient 20 years of age or older (HCPCS:90966)

The enumeration date for this NPI number is 8/21/2006 and was last updated on 2/11/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine85459SOUTH CAROLINANo
2207R00000XInternal Medicine292538NEW YORKNo
3207R00000XInternal Medicine25MA10666300NEW JERSEYNo
4207R00000XInternal Medicine2020-04368NORTH CAROLINANo
5207R00000XInternal MedicineME141765FLORIDANo
6207RN0300XInternal MedicineNephrology25MA10666300NEW JERSEYNo
7208D00000XGeneral Practice25MA10666300NEW JERSEYNo
8207RN0300XInternal MedicineNephrologyME141765FLORIDANo
9207RN0300XInternal MedicineNephrology292538NEW YORKNo
10208D00000XGeneral PracticeME141765FLORIDANo
11208D00000XGeneral Practice292538NEW YORKNo
12174400000XSpecialistA78217CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A782170MEDICAIDCALIFORNIA

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: 9/12/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.