Radiation Therapy of Olean PC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

RADIATION THERAPY OF OLEAN PC

Doing business as

Regional Cancer Care Olean Bradford

Practice address

1415 Buffalo St
Olean, NY 14760-1139

Phone

(716) 373-7134

Fax

(716) 373-5787

NPI assigned

Jan 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ranjit S Dhaliwal, M.D.

Title

Delegated Official

Phone

(716) 373-7134

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Regional Cancer Care Olean Bradford Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609854702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BUFFALO ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601139",
            "telephone_number": "716-373-7134",
            "fax_number": "716-373-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BUFFALO ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601139",
            "telephone_number": "716-373-7134",
            "fax_number": "716-373-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION THERAPY OF OLEAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DHALIWAL",
        "authorized_official_first_name": "RANJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "716-373-7134",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "952634",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01289849",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF WESTERN NY",
            "identifier": "000528169001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012714830001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000528169001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Cancer Care Olean Bradford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clifford Pyne, ACNP
• Qavah Midwifery PLLC
• Shannen Quinn
• Jennifer Quintana, OTA
• Josephine Raab, NP
• Samad Rasul, M.D
• Boonlua Ratanawongsa, M.D.
• Tammy Lynn Rauber, COTA
• Shafi Raza, MD
• Mildred Daniela Miranda Recinos

• Radiation Oncology Physician in Olean, NY
• Providers in Olean, NY by specialty
• Radiation Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.