Basic Information
| Provider Information | |||||||||
| NPI: | 1386178457 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HESHAM GAYAR, MD, PC | ||||||||
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| OtherOrganizationName: | RADIATION ONCOLOGY CONSULTANTS | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4100 BEECHER RD STE A | ||||||||
| Address2: | |||||||||
| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485323661 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8103423813 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1221 SOUTH DR | ||||||||
| Address2: | MOREY CANCER CENTER RADIATION DEPT | ||||||||
| City: | MT PLEASANT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488583257 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9897726811 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2017 | ||||||||
| LastUpdateDate: | 04/17/2017 | ||||||||
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| AuthorizedOfficialLastName: | KNOPP | ||||||||
| AuthorizedOfficialFirstName: | SUSAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | BILLING MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 8103423813 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 4301056934 | MI | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.