COLLABORATIVE RADIATION ONCOLOGY PLLC NPI 1467801985

NPI Information

NPI: 1467801985
Provider Name: COLLABORATIVE RADIATION ONCOLOGY PLLC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
302 KENSINGTON AVE
FLINT, MI
ZIP 48503
Phone: (810) 762-8226
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COLLABORATIVE RADIATION ONCOLOGY PLLC is a radiation oncology radiology in Flint, 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. COLLABORATIVE RADIATION ONCOLOGY PLLC NPI is 1467801985. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

302 KENSINGTON AVE
FLINT, MI
ZIP 48503-044
Phone: (810) 762-8226
Fax: (810) 762-8016

The provider's authorized official is Paul George Kocheril .
The authorized official title is Owner and has the following contact phone number (810) 762-8058.

The enumeration date for this NPI number is 6/6/2016 and was last updated on 6/6/2016.

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	PK066426	MICHIGAN	Yes

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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