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NPI Code Detail

MEDICARE: NORFOLK RADIAITON ONCOLOGY, PC

MEDICARE: NORFOLK RADIAITON ONCOLOGY, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WG0000XGeneral Practice Registered Nurse

General Provider Information

NPI Number : 1174721716
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORFOLK RADIAITON ONCOLOGY, PC
Provider Business Mailing Address
First Line : PO BOX 1666
Second Line :
City : NORFOLK
State : NE
Zip : 68702-1666
Country : US
Telephone Number : 402-371-0925
Fax Number : 402-371-0925
Provider Business Practice Location Address
First Line : 2425 TAYLOR AVE
Second Line :
City : NORFOLK
State : NE
Zip : 68701-4511
Country : US
Telephone Number : 402-371-5070
Fax Number : 402-371-5070
Authorized Official
Title or Position : OWNER
Name : DR. MOHAMMED K ZAHRA
Credential : MD
Telephone Number : 402-371-0925
Provider Enumeration Date : 07/05/2007
Last Update Date : 07/13/2007

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Directions to “NORFOLK RADIAITON ONCOLOGY, PC ” Practice Location

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