Kamanda, William S

Kamanda, William S is an sole proprietor health care provider with primary practice located at 53760 Generations Dr , South Bend IN 46635-1539. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Kamanda, William S can be contacted via phone (574) 968-4100.

Contact Information

Primary practice address
53760 Generations Dr South Bend IN 46635-1539
Phone: (574) 968-4100
Fax: (574) 968-4125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 01050428A Indiana
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01050428A Indiana

Profile Details

NPI number 1275597650
LBN Legal business name Kamanda, William S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Nov 22nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275597650 NPPES
Other 000000341279 BLUE CROSS BLUE SHIELD
Other 20-1373376 BLUE CROSS BLUE SHIELD
MEDICAID 200234450B BLUE CROSS BLUE SHIELD

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