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OWENSBORO CANCER CENTER PSC NPI 1730231887


NPI Information

NPI: 1730231887
Provider Name: OWENSBORO CANCER CENTER PSC
Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

Address:
1020 BRECKENRIDGE ST
STE 200
OWENSBORO, KY
ZIP 42303
Phone: (270) 688-1900
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OWENSBORO CANCER CENTER PSC is a medical oncology internal medicine in Owensboro, KY. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. OWENSBORO CANCER CENTER PSC NPI is 1730231887. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1020 BRECKENRIDGE ST
STE 200
OWENSBORO, KY
ZIP 42303-784
Phone: (270) 688-1900
Fax: (270) 688-1905

The provider's authorized official is Dattatraya S Prajapati .
The authorized official title is Principal Officer and has the following contact phone number (270) 688-1900.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 5/5/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RX0202XInternal MedicineMedical Oncology21298KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
165946162MEDICAIDKENTUCKY
2000000027405OTHERKENTUCKYANTHEM
3000000196488OTHERKENTUCKYANTHEM
436564OTHERKENTUCKYKY LICENSE
5D82709MEDICARE UPINKENTUCKY
6G82216MEDICARE UPINKENTUCKY
700337001MEDICARE PINKENTUCKY
800337MEDICARE PINKENTUCKY
9252110MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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