Michiana Hematology-Oncology P C
LBN: Michiana Hematology-Oncology P C
Michiana Hematology-Oncology P C is an health care organization with primary practice located at 1915 Lake Ave , Plymouth IN 46563-9366. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty.
Michiana Hematology-Oncology P C can be contacted via phone (574) 936-2585, or through Ansari, Rafat H via phone (574) 234-5123.
Contact Information
Primary practice address
1915 Lake Ave
Plymouth IN 46563-9366
Phone: (574) 936-2585
Fax: (574) 936-3887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1487793873 |
|---|---|
| LBN Legal business name | Michiana Hematology-Oncology P C |
| DBA Doing business as | |
| Authorized official | Ansari, Rafat H Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 3rd, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487793873 | NPPES |
| Indiana | MEDICAID | 100389430 | |
| Indiana | Other | 1176700001 |
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