Healthcare Provider Details

I. General information

NPI: 1851355119
Provider Name (Legal Business Name): RADIATION MEDICINE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 09/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 MACARTHUR BLVD ONCOLOGY CENTER
MUNSTER IN
46321-2901
US

IV. Provider business mailing address

9201 CALUMET AVE
MUNSTER IN
46321-2807
US

V. Phone/Fax

Practice location:
  • Phone: 219-836-6390
  • Fax:
Mailing address:
  • Phone: 219-836-9024
  • Fax: 219-836-0034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREJ ZAJAC
Title or Position: PRESIDENT
Credential: M.D.
Phone: 219-836-9024