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Dr. Nitin Gangadhar Vaishampayan, MD
Radiation Oncology Physician in Detroit, Michigan
NPI 1861466963

Nitin Gangadhar Vaishampayan is a Radiation Oncology Physician based in Troy, MI and is specialized in Radiation Oncology. Nitin Gangadhar Vaishampayan practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Nitin Gangadhar Vaishampayan is 1861466963 and holds a License No. 4301057935 (Michigan).

The current practice location address for Nitin Gangadhar Vaishampayan is 4100 John R St, Detroit, MI and can be reached out via phone at 800-527-6266 and via fax at 313-576-9640. You can also correspond with Nitin Gangadhar Vaishampayan through the mailing address at 1560 E MAPLE RD, TROY, MI - 48083-1189 (mailing address contact number: 248-581-5974).

Location: 4100 John R St, Detroit, MI, 48083-1189
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Provider Profile Details
NPI Number
1861466963
Provider Name
Nitin Gangadhar Vaishampayan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4100 John R St, Detroit, MI, 48083-1189
Phone Number
800-527-6266
Fax Number
313-576-9640
Provider Enumeration Date
02/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
111209 01 MI CARE CHOICES HMO PROV. #
4204199 05 MI
104179 01 MI GREAT LAKES HEALTH PLAN (AOAM)
104174 01 MI GREAT LAKES HEALTH PLAN (X-RAY)
4254010 05 MI
institution
Provider Business Practice Location Address Details
Address
4100 John R St
City
State
Zip
48201-2013
Phone Number
800-527-6266
Fax Number
313-576-9640
person
Provider Business Mailing Address Details
Address
1560 E Maple Rd
City
State
Zip
48083-1189
Phone Number
248-581-5974
Fax Number
248-581-5640
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
License No.
4301057935 (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.
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