Provider Demographics
NPI:1932130978
Name:RADIATION ONCOLOGY MEDICAL ASSOCIATES OF RANCHO MIRAGE
Entity Type:Organization
Organization Name:RADIATION ONCOLOGY MEDICAL ASSOCIATES OF RANCHO MIRAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:MAKKER
Authorized Official - Last Name:KHANNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-674-3600
Mailing Address - Street 1:PO BOX 1825
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270
Mailing Address - Country:US
Mailing Address - Phone:760-674-3600
Mailing Address - Fax:760-674-3607
Practice Address - Street 1:39000 BOB HOPE DR
Practice Address - Street 2:LUCY CURCI CANCER CENTER, STE 3113
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270
Practice Address - Country:US
Practice Address - Phone:760-674-3600
Practice Address - Fax:760-674-3607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty