Organization
RADIATION ONCOLOGY ASSOCIATES A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY EBRAHIM (ADMINISTRATOR)
(318) 222-1149
Entity
Organization
Contact information
Practice address
1 SAINT MARY PL, SHREVEPORT, LA 71101-4343
(318) 681-4126
(318) 425-2335
Mailing address
1800 BUCKNER ST, SUITE B100, SHREVEPORT, LA 71101-4440
(318) 222-1149
(318) 425-2335
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
08279R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1927911
—
LA
Enumeration date
04/19/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us