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KIGGUNDU RADIATION THERAPY PA NPI 1154301539


NPI Information

NPI: 1154301539
Provider Name: KIGGUNDU RADIATION THERAPY, PA

Doing Business As: KIGGUNDU RADIATION THERAPY, INC.

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
2000 FOUNDATION WAY
SUITE 1100
MARTINSBURG, WV
ZIP 25401
Phone: (304) 262-8800
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KIGGUNDU RADIATION THERAPY, PA is a radiation oncology radiology in Martinsburg, WV. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. KIGGUNDU RADIATION THERAPY, PA NPI is 1154301539. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kiggundu Radiation Therapy, Inc..

The provider's business location address is:

2000 FOUNDATION WAY
SUITE 1100
MARTINSBURG, WV
ZIP 25401-003
Phone: (304) 262-8800
Fax: (304) 262-8203

The provider's authorized official is Edward W. Kiggundu .
The authorized official title is President and has the following contact phone number (304) 262-8800.

The enumeration date for this NPI number is 1/20/2006 and was last updated on 9/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13810003414MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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