Healthcare Provider Details

I. General information

NPI: 1881685527
Provider Name (Legal Business Name): WESTERN RADIATION ONCOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 QUAKER LN FL 1
WEST WARWICK RI
02893-2179
US

IV. Provider business mailing address

125 SOUTH DR
MOUNTAIN VIEW CA
94040-4310
US

V. Phone/Fax

Practice location:
  • Phone: 650-940-7280
  • Fax:
Mailing address:
  • Phone: 650-940-7280
  • Fax: 650-988-7917

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: ANKIT AGARWAL
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 650-940-7280