Healthcare Provider Details

I. General information

NPI: 1851392211
Provider Name (Legal Business Name): CENTRAL OHIO RADIATION ONCOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S GRANT AVE
COLUMBUS OH
43215-4701
US

IV. Provider business mailing address

PO BOX 951822
CLEVELAND OH
44193-0020
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-9506
  • Fax: 614-566-8224
Mailing address:
  • Phone: 800-669-1518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. CHUCK C CHO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 614-566-9506