Kabolizadeh, Peyman
Kabolizadeh, Peyman is an individual health care provider with primary practice located at 3577 W 13 Mile Rd Beaumont Radiation Oncology Royal Oak, Royal Oak MI 48073-6710. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Kabolizadeh, Peyman can be contacted via phone (248) 551-5490.Contact Information
Primary practice address
3577 W 13 Mile Rd Beaumont Radiation Oncology Royal Oak
Royal Oak MI 48073-6710
Phone: (248) 551-5490
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Virginia | |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 4301107331 | Michigan |
Profile Details
| NPI number | 1093941171 |
|---|---|
| LBN Legal business name | Kabolizadeh, Peyman |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2009 |
| Last updated | Jul 14th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093941171 | NPPES |
| Michigan | Other | 0F34985 | BCBSM |
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