RADIATION ONCOLOGY SPECIALISTS PC NPI 1972529436

NPI Information

NPI: 1972529436
Provider Name: RADIATION ONCOLOGY SPECIALISTS PC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
19229 MACK AVE
SUITE 10
GROSSE POINTE WOODS, MI
ZIP 48236
Phone: (313) 647-3100
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RADIATION ONCOLOGY SPECIALISTS PC is a radiation oncology radiology in Grosse Pointe Woods, MI. 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 SPECIALISTS PC NPI is 1972529436. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19229 MACK AVE
SUITE 10
GROSSE POINTE WOODS, MI
ZIP 48236
Phone: (313) 647-3100
Fax: (313) 647-3111

The provider's authorized official is Amr M Aref .
The authorized official title is President and has the following contact phone number (313) 647-3100.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 10/24/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0M90750	MEDICARE PIN	MICHIGAN

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: 5/5/2024

NPI Synchronization or Removal

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