Hanahan, Ralph Bailey
Hanahan, Ralph Bailey is an individual health care provider with primary practice located at 3555 Round Barn Cir , Santa Rosa CA 95403-1757. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Therapeutic Radiology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Hanahan, Ralph Bailey can be contacted via phone (707) 522-6875.Contact Information
Primary practice address
3555 Round Barn Cir
Santa Rosa CA 95403-1757
Phone: (707) 522-6875
Fax: (707) 576-0445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | C30500 | California |
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | C30500 | California |
Profile Details
| NPI number | 1801986641 |
|---|---|
| LBN Legal business name | Hanahan, Ralph Bailey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801986641 | NPPES |
| California | MEDICAID | 00C305000 |
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