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V. VONGTAMA M.D. INC. NPI 1366620874


NPI Information

NPI: 1366620874
Provider Name: V. VONGTAMA, M.D., INC.

Doing Business As: EAST BAY REGIONAL CANCER CENTER

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
1034 A ST
HAYWARD, CA
ZIP 94541
Phone: (209) 342-5516
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V. VONGTAMA, M.D., INC. is a radiation oncology radiology in Hayward, CA. 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. V. VONGTAMA, M.D., INC. NPI is 1366620874. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As East Bay Regional Cancer Center.

The provider's business location address is:

1034 A ST
HAYWARD, CA
ZIP 94541-106
Phone: (209) 342-5516

The provider's authorized official is Vitune Vontama .
The authorized official title is Owner and has the following contact phone number (949) 721-6533.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 4/17/2012.


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 OncologyA29753CALIFORNIAYes

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
1ZZZ30020ZMEDICARE PIN
200A297530MEDICAIDCALIFORNIA

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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