Provider Demographics
NPI:1316025935
Name:BARRON-DHILLON, DANICA NATASHA (MD)
Entity type:Individual
Prefix:DR
First Name:DANICA
Middle Name:NATASHA
Last Name:BARRON-DHILLON
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:DANICA
Other - Middle Name:NATASHA
Other - Last Name:BARRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1800 VERSAILLES AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-1653
Mailing Address - Country:US
Mailing Address - Phone:510-928-8400
Mailing Address - Fax:
Practice Address - Street 1:3100 TONGASS AVE
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-5746
Practice Address - Country:US
Practice Address - Phone:907-225-5171
Practice Address - Fax:907-370-2533
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74493207P00000X
MT148641207P00000X
AK159653207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A744930Medicaid
CA00A744930Medicaid
H82916Medicare UPIN