Organization
SKPR OH 1 LLC
Active
Other names
Scioto County Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH B PATEL M.D. (SOLE MEMBER/MANAGER)
(937) 386-0000
Entity
Organization
Contact information
Practice address
915 10TH ST, PORTSMOUTH, OH 45662-4152
(937) 386-0000
(937) 386-0009
Mailing address
285 MEDICAL CENTER DR, SEAMAN, OH 45679-8006
(937) 386-0000
(937) 386-0009
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
35053209
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3100389
—
OH
Enumeration date
10/18/2010
Last updated
02/18/2011
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