Blood & Cancer Clinic, P.A.

LBN: Blood & Cancer Clinic, P.A.
Blood & Cancer Clinic, P.A. is an health care organization with primary practice located at 1565 Purdue Dr Suite 301, Fayetteville NC 28303-5536. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Blood & Cancer Clinic, P.A. can be contacted via phone (910) 483-8586, or through Devasthali, Shirish D via phone (910) 483-8586.

Contact Information

Primary practice address
1565 Purdue Dr Suite 301 Fayetteville NC 28303-5536
Phone: (910) 483-8586
Fax: (910) 483-9212
Website:
Map and Directions
Authorized official contact:
Name: Devasthali, Shirish D Doctor of Medicine (MD)
Phone: (910) 483-8586

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 38929 North Carolina
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 200401286 North Carolina

Profile Details

NPI number 1437209632
LBN Legal business name Blood & Cancer Clinic, P.A.
DBA Doing business as
Authorized official Devasthali, Shirish D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Jun 20th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437209632 NPPES
North Carolina Other 011G3 BCBSNC
North Carolina MEDICAID 89011G3 BCBSNC

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