Organization
CLERMONT RADIATION ONCOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAGIH M SHEHATA M.D (PRESIDENT)
(513) 421-3504
Entity
Organization
Contact information
Practice address
7691 FIVE MILE RD, SUITE 203, CINCINNATI, OH 45230
(513) 421-3504
(513) 231-7055
Mailing address
DEPT 2289, CINCINNATI, OH 45263
(513) 421-3504
(513) 231-7055
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
350353745
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107404
—
OH
Enumeration date
12/18/2006
Last updated
02/09/2009
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