is a Radiation Oncology in Indianapolis, Indiana. practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for is 1730130394. The last update date is .
's current location address is 7229 Clearvista Dr, Indianapolis, Indiana. You can contact this provider via phone number 3176214300. The mailing address for is 7229 Clearvista Dr, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 7229 Clearvista Dr, Indianapolis, Indiana |
| Phone Number | 3176214300 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1730130394 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 7229 Clearvista Dr |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 4625616980 |
| Phone Number | 3176214300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | 01062193A |
|
Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01157071 | IN | RR MEDICARE PTAN |
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