Doctor Name: | DR. ROHAN LALITH DERANIYAGALA |
NPI Number: | 1013236660 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301096094 |
Business Practice Address: | 18101 Oakwood Blvd Dearborn, MI - 481244089 |
Business Phone Number: | 2485515490 |
Business Fax Number: | |
Mailing Address: | 130 Town Center Dr, TROY |
State: | MI |
Postal Code: | 480841744 |
Phone Number: | 2485858233 |
Fax Number: | 2485858266 |
NPI Enumeration Date: | 05/21/2010 |
NPI Last Update Date: | 06/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | 4301096094 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy 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. |