Healthcare Provider Details

I. General information

NPI: 1548286990
Provider Name (Legal Business Name): HURON RIVER RADIATION ONCOLOGY SPECIALISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 E HURON RIVER DR
YPSILANTI MI
48197-1051
US

IV. Provider business mailing address

PO BOX 77269
DETROIT MI
48277-0269
US

V. Phone/Fax

Practice location:
  • Phone: 734-712-3595
  • Fax: 734-712-5344
Mailing address:
  • Phone: 734-712-3596
  • Fax: 734-712-5344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SAMIR NARAYAN
Title or Position: PHYSICIAN
Credential: MD
Phone: 734-712-3596