Individual provider · Type 1 NPI

Charlotte Dai Kubicky, MD, PhD

Radiation Oncology Physician · Roseville, CA

NPI number 1194935858 Active

Practice location

2 Medical Plaza Dr Ste 180
Roseville, CA 95661-3049

Mailing address

10470 Old Placerville Rd Ste 100
Sacramento, CA 95827-2539

Other practice locations

  • 3181 SW Sam Jackson Park Rd, KPV4, Portland, OR 97239-3011 · (415) 939-7113
  • 3181 SW Sam Jackson Park Rd, KPV4, Portland, OR 97239-3011 · (415) 939-7113

Specialties and licenses

TaxonomyCodeLicense
Radiation Oncology Physician 2085R0001XMD27649 (OR)
Radiation Oncology Physician Primary 2085R0001XA85664 (CA)

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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About NPI 1194935858

Charlotte Dai Kubicky, MD, PhD's National Provider Identifier is 1194935858, issued on May 23, 2007. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Roseville, CA. The record was last updated on Aug 23, 2018.