Provider Demographics
NPI:1942752829
Name:PRECISION CANCER SPECIALISTS MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:PRECISION CANCER SPECIALISTS MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-764-4800
Mailing Address - Street 1:461 2ND ST
Mailing Address - Street 2:SUITE 229
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1498
Mailing Address - Country:US
Mailing Address - Phone:415-764-4800
Mailing Address - Fax:415-764-4802
Practice Address - Street 1:461 2ND ST
Practice Address - Street 2:SUITE 229
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1498
Practice Address - Country:US
Practice Address - Phone:415-764-4800
Practice Address - Fax:415-764-4802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1052892085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty