Basic Information
Provider Information
NPI: 1902187289
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NARANG
FirstName: RADHIKA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9300 VALLEY CHILDRENS PL # SC05
Address2:  
City: MADERA
State: CA
PostalCode: 936368761
CountryCode: US
TelephoneNumber: 5593535700
FaxNumber:  
Practice Location
Address1: 9300 VALLEY CHILDRENS PL # SE21
Address2:  
City: MADERA
State: CA
PostalCode: 936368761
CountryCode: US
TelephoneNumber: 5593538769
FaxNumber: 5593535580
Other Information
ProviderEnumerationDate: 08/31/2011
LastUpdateDate: 12/15/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/15/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080N0001XA146122CAY Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine

No ID Information.


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