MICHIGAN INSTITUTE FOR RADIATION ONCOLOGY/MIRO CANCER CENTER
NPI 1710952775
Radiology - Radiation Oncology in Pontiac, MI

Q: What is Michigan Institute For Radiation Oncology/Miro Cancer Center's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Active since February 22, 2006

70 FULTON ST, PONTIAC, MI 48341(248) 338-0300(248) 338-0663 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2020, Aug 17, 2018 (2 updates tracked since 2018).

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About Michigan Institute For Radiation Oncology/miro Cancer Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN INSTITUTE FOR RADIATION ONCOLOGY/MIRO CANCER CENTER (NPI 1710952775) is a healthcare organization registered as a radiation oncology in Pontiac, Michigan and active in the NPI registry since February 2006. The organization lists Farideh R. Bagne, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710952775

Entity TypeOrganization

Primary Taxonomy2085R0001X

Legal Business NameMICHIGAN INSTITUTE FOR RADIATION ONCOLOGY/MIRO CANCER CENTER

Location Address70 FULTON STPontiac, MI 48341-2755

Mailing Address70 Fulton StPontiac, MI 48341-2755 · (248) 338-0300 · Fax (248) 338-0663

Phone(248) 338-0300

Fax(248) 338-0663

Organization SubpartNo

Authorized OfficialFarideh R. BagneCeo · (248) 338-0300

Enumeration DateFebruary 22, 2006

Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration

✔ NPI 1710952775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

70 FULTON ST, Pontiac, MI 48341

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARRY L KESTIN

Radiology (Radiation Oncology)