Organization
EAST CENTRAL RADIATION ONCOLOGY ASSOCIATES PC
Active
Other names
Mid Bay Radiaton Oncologists PC
Organization subpart
No
Provider details
NPI number
Authorized official
RAJNIKANT MEHTA MD (PRESIDENT)
(989) 839-1339
Entity
Organization
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670-0001
(989) 839-1339
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-0001
(989) 839-1339
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320Z910000
BLUE CROSS
MI
Enumeration date
06/23/2006
Last updated
10/10/2012
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