| NPI | 1619970183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILAL ANSARI Co Owner 574-237-1328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 2085R0001X Radiology, Radiation Oncology | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2023-11-15 |