AMERICAN ONCOLOGIC AMERICAN ONCOLOGIC ASSOCIATES OF MICHIGAN, PC/MIRO – NPI #1134194509
Radiology

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

AMERICAN ONCOLOGIC AMERICAN ONCOLOGIC ASSOCIATES OF MICHIGAN, PC/MIRO is a radiologist located in CLARKSTON, MI. NPPES has assigned the NPI number 1134194509 to AMERICAN ONCOLOGIC AMERICAN ONCOLOGIC ASSOCIATES OF MICHIGAN, PC/MIRO on February 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AMERICAN ONCOLOGIC AMERICAN ONCOLOGIC ASSOCIATES OF MICHIGAN, PC/MIRO” is a dba name, the actual legal business name for this organization is MIRO-CLARKSTON. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMERICAN ONCOLOGIC AMERICAN ONCOLOGIC ASSOCIATES OF MICHIGAN, PC/MIRO below.

NPI Profile for
MIRO-CLARKSTON

NPI Number
1134194509
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIRO-CLARKSTON
Doing Business As (dba): AMERICAN ONCOLOGIC AMERICAN ONCOLOGIC ASSOCIATES OF MICHIGAN, PC/MIRO
Primary location
6770 DIXIE HWY
SUITE 106
CLARKSTON, MI 48346-2087
Phone: (248) 625-0300 Fax: (248) 625-0363
Mailing address
70 FULTON ST
PONTIAC, MI 48341-2755
Phone: (248) 338-0300 Fax: (248) 338-0663
Organization Subpart
No
Authorized Official
FARIDEH BAGNE
CEO
Phone: (248) 338-0300
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.