Provider Demographics
NPI:1730282997
Name:BUFFALO RADIATION ONCOLOGY
Entity Type:Organization
Organization Name:BUFFALO RADIATION ONCOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MONEER
Authorized Official - Middle Name:A
Authorized Official - Last Name:KHALIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-565-3999
Mailing Address - Street 1:C/O BUFFALO CANCER CENTER
Mailing Address - Street 2:495 INTERNATIONAL DRIVE
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-565-3999
Mailing Address - Fax:716-565-3915
Practice Address - Street 1:C/O BUFFALO CANCER CENTER
Practice Address - Street 2:495 INTERNATIONAL DRIVE
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-565-3999
Practice Address - Fax:716-565-3915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY159170174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty