| NPI | 1124303466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAT H. ANSARI President 800-860-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IN 50002882A) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: IN 50002882A) |
| 2085R0001X Radiology Radiation Oncology (Licence: IN 50002882A) | |
| 332900000X Non-Pharmacy Dispensing Site (Licence: IN 50002882A) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 50002882A) | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2012-03-19 |