EASTGATE CANCER CENTER LLC NPI 1316999337

NPI Information

  • NPI: 1316999337
  • Provider Name: EASTGATE CANCER CENTER LLC
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Organization
  • Address: 4415 AICHOLTZ RD
    CINCINNATI, OH
    ZIP 45245
  • Phone: (513) 752-8100

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NPI Details

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DE8274OTHEROHIORR MEDICARE
24012071MEDICARE PINOHIO

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: 3/30/2025

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