EASTGATE CANCER CENTER LLC NPI 1316999337

NPI Information

NPI: 1316999337
Provider Name: EASTGATE CANCER CENTER LLC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
4415 AICHOLTZ RD
CINCINNATI, OH
ZIP 45245
Phone: (513) 752-8100
Get Directions

EASTGATE CANCER CENTER LLC is a radiation oncology radiology in Cincinnati, OH. 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. EASTGATE CANCER CENTER LLC NPI is 1316999337. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4415 AICHOLTZ RD
CINCINNATI, OH
ZIP 45245-506
Phone: (513) 752-8100

The provider's authorized official is Wagih Shehata .
The authorized official title is Md, Ceo and has the following contact phone number (513) 752-8100.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 7/9/2008.

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	DE8274	OTHER	OHIO	RR MEDICARE
2	4012071	MEDICARE PIN	OHIO

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

NPI Synchronization or Removal

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