Provider Demographics
NPI:1093839060
Name:HESHAM E GAYAR, M.D., P.C.
Entity Type:Organization
Organization Name:HESHAM E GAYAR, M.D., P.C.
Other - Org Name:RADIATION ONCOLOGY CONSULTANTS, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HESHAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:GAYAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-342-3813
Mailing Address - Street 1:PO BOX 1236
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48480-3236
Mailing Address - Country:US
Mailing Address - Phone:810-342-3813
Mailing Address - Fax:810-342-3784
Practice Address - Street 1:4100 BEECHER RD
Practice Address - Street 2:SUITE A
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3605
Practice Address - Country:US
Practice Address - Phone:810-342-3813
Practice Address - Fax:810-342-3784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI320B511190OtherBCBSM
MIOM87280Medicare ID - Type UnspecifiedMEDICARE