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WILLIAMSBURG RADIATION ONCOLOGY PC NPI 1629184015


NPI Information

NPI: 1629184015
Provider Name: WILLIAMSBURG RADIATION ONCOLOGY PC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
6101 VILLAGE DR
SUITE 100
LINCOLN, NE
ZIP 68516
Phone: (402) 421-7158
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WILLIAMSBURG RADIATION ONCOLOGY PC is a radiation oncology radiology in Lincoln, NE. 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. WILLIAMSBURG RADIATION ONCOLOGY PC NPI is 1629184015. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6101 VILLAGE DR
SUITE 100
LINCOLN, NE
ZIP 68516-830
Phone: (402) 421-7158
Fax: (402) 421-7449

The provider's authorized official is Raju Rao .
The authorized official title is Owner and has the following contact phone number (402) 421-7158.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 1/25/2010.


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 Oncology19624NEBRASKAYes

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
1=========13MEDICAIDNEBRASKA
2098397MEDICARE PINNEBRASKA

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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