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RADIATION ONCOLOGY ASSOCIATES A MEDICAL CORPORATION NPI 1548487804


NPI Information

NPI: 1548487804
Provider Name: RADIATION ONCOLOGY ASSOCIATES A MEDICAL CORPORATION
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
1 SAINT MARY PL
SHREVEPORT, LA
ZIP 71101
Phone: (318) 681-4126
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RADIATION ONCOLOGY ASSOCIATES A MEDICAL CORPORATION is a radiation oncology radiology in Shreveport, LA. 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. RADIATION ONCOLOGY ASSOCIATES A MEDICAL CORPORATION NPI is 1548487804. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 SAINT MARY PL
SHREVEPORT, LA
ZIP 71101-343
Phone: (318) 681-4126
Fax: (318) 425-2335

The provider's authorized official is Sally Ebrahim .
The authorized official title is Administrator and has the following contact phone number (318) 222-1149.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 8/22/2020.


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 Oncology08279RLOUISIANAYes

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
11927911MEDICAIDLOUISIANA

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: 11/14/2023

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