=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932148996
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RADIATION ONCOLOGY ASSOCIATES OF RICHMOND PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/05/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1401 CHESTER BLVD
-----------------------------------------------------
City | RICHMOND
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47374-1908
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-806-1024
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 26706 SECTION #104
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73126-0706
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. ARVIND KUMAR
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 918-806-1024
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2085R0001X
-----------------------------------------------------
Taxonomy Name | Radiation Oncology Physician
-----------------------------------------------------
License Number | 01038579A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------