Regional Urology Oncology and Radiation Treatment Center

Organization Active NPI Radiation Oncology Physician · Shreveport, LA

NPI 1174575591 · NPPES record last updated Nov 15, 2007

Key facts

NPI
1174575591
Entity type
Organization (NPI type 2)
Primary specialty
Radiation Oncology Physician 2085R0001X
Legal business name
REGIONAL UROLOGY ONCOLOGY AND RADIATION TREATMENT CENTER
Practice address
255 Bert Kouns Loop
Shreveport, LA 71106-8150
Phone
(318) 682-4590
Fax
(318) 682-4598
NPI assigned
May 16, 2006
Organization subpart
No

Authorized official

Name
Dr. Raymond D Germany Jr., MD
Title
Owner
Phone
(318) 683-0411

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2085R0001X Yes

Addresses

Primary practice location

255 Bert Kouns Loop
Shreveport, LA 71106-8150

Mailing address

301 Bert Kouns Loop
Shreveport, LA 71106-8124
Phone (318) 682-4590

Other identifiers

IdentifierTypeStateIssuer
DF1999OtherLARAILROAD MEDICARE
1448192MedicaidLA

Other providers in Shreveport, LA

All providers in Shreveport, LA · Radiation Oncology Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.