Provider Demographics
NPI:1386756245
Name:NURANI, RIZWAN D (MD)
Entity type:Individual
Prefix:
First Name:RIZWAN
Middle Name:D
Last Name:NURANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10297
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-0297
Mailing Address - Country:US
Mailing Address - Phone:605-035-9107
Mailing Address - Fax:
Practice Address - Street 1:18092 WIKA RD STE 140
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2132
Practice Address - Country:US
Practice Address - Phone:760-503-5910
Practice Address - Fax:760-242-8577
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD601519052085R0001X, 207RX0202X
FLME992142085R0001X
CAA1192382085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278891800Medicaid
FL310053OtherAVMED
FL16613OtherBCBS
CAGJ220ZMedicare PIN
FLAF834TMedicare PIN
FLAF834ZMedicare PIN
FLAF834YMedicare PIN
FMAF834KMedicare PIN
FLAF834SMedicare PIN
FL310053OtherAVMED
FLAF834UMedicare PIN
FLAF834XMedicare PIN
FLAF834OMedicare PIN
FL278891800Medicaid
FLAF834PMedicare PIN
FL16613OtherBCBS
FLAF834RMedicare PIN
FLAF834JMedicare PIN