OrganizationActive
Radiation Oncology Associates a Medical Corporation
NPI 1548487804 · Radiation Oncology Physician · Shreveport, LA
Provider details
- NPI number
- 1548487804
- Entity type
- Organization
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sally Ebrahim, Administrator(318) 222-1149
- License
- 08279R (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1 Saint Mary Pl
Shreveport, LA 71101-4343
Phone: (318) 681-4126
Fax: (318) 425-2335
Approximate (ZIP-level) locationGet directions
Mailing address
1800 Buckner St
Shreveport, LA 71101-4440
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.