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Peyman Kabolizadeh
Radiation Oncology Physician in Royal Oak, Michigan
NPI 1093941171

Peyman Kabolizadeh is a Radiation Oncology Physician based in Troy, MI and is specialized in Radiation Oncology. Peyman Kabolizadeh practices in Royal Oak, MI. The NPI Number for Peyman Kabolizadeh is 1093941171 and holds a License No. (Michigan).

The current practice location address for Peyman Kabolizadeh is 3577 W 13 Mile Rd, Royal Oak, MI and can be reached out via phone at 248-551-5490. You can also correspond with Peyman Kabolizadeh through the mailing address at 130 TOWN CENTER DR STE 203, TROY, MI - 48084-1744 (mailing address contact number: ).

Location: 3577 W 13 Mile Rd, Royal Oak, MI, 48084-1744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093941171
Provider Name
Peyman Kabolizadeh
Credential
Provider Entity Type
Individual
Gender
Male
Address
3577 W 13 Mile Rd, Royal Oak, MI, 48084-1744
Phone Number
248-551-5490
Fax Number
Provider Enumeration Date
06/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0F34985 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
3577 W 13 Mile Rd
City
Royal Oak
State
Michigan
Zip
48073-6710
Phone Number
248-551-5490
Fax Number
person
Provider Business Mailing Address Details
Address
130 Town Center Dr Ste 203
City
Troy
State
Michigan
Zip
48084-1744
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
4301107331 (Michigan)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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