Provider Demographics
NPI:1174721716
Name:NORFOLK RADIAITON ONCOLOGY, PC
Entity type:Organization
Organization Name:NORFOLK RADIAITON ONCOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:K
Authorized Official - Last Name:ZAHRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-371-0925
Mailing Address - Street 1:PO BOX 1666
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68702-1666
Mailing Address - Country:US
Mailing Address - Phone:402-371-0925
Mailing Address - Fax:402-371-0925
Practice Address - Street 1:2425 TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4511
Practice Address - Country:US
Practice Address - Phone:402-371-5070
Practice Address - Fax:402-371-5070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty