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NPI Code Detail

MEDICARE: JOHN F CABELKA II MD

MEDICARE: JOHN F CABELKA II MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician041525GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467452532
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN F CABELKA II MD
Provider Business Mailing Address
First Line : 2000 PEPPERELL PARKWAY
Second Line : RADIATION ONCOLOGY
City : OPELIKA
State : AL
Zip : 36801
Country : US
Telephone Number : 706-604-0622
Fax Number :
Provider Business Practice Location Address
First Line : 2000 PEPPERELL PKWY
Second Line : RADIATION ONCOLOGY
City : OPELIKA
State : AL
Zip : 36801-5452
Country : US
Telephone Number : 706-604-0622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 03/09/2012

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