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NPI Code Detail

MEDICARE: RADIATION ONCOLOGY OF YOUNGSTOWN INC

MEDICARE: RADIATION ONCOLOGY OF YOUNGSTOWN INC
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 PhysicianOH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CM3740OTHEROHRR MEDICARE

General Provider Information

NPI Number : 1518969450
Entity Type Code : Organization
Provider Name (Legal Business Name) : RADIATION ONCOLOGY OF YOUNGSTOWN INC
Provider Business Mailing Address
First Line : PO BOX 951136
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0005
Country : US
Telephone Number : 216-464-5160
Fax Number : 216-464-5982
Provider Business Practice Location Address
First Line : 1044 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44504-1006
Country : US
Telephone Number : 330-480-3182
Fax Number : 330-480-2927
Authorized Official
Title or Position : PRESIDENT
Name : RASHAD EL-DABH
Credential : MD
Telephone Number : 330-480-3182
Provider Enumeration Date : 08/11/2005
Last Update Date : 07/21/2022

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Directions to “RADIATION ONCOLOGY OF YOUNGSTOWN INC ” Practice Location

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