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ARKANSAS CANCER CLINIC PA NPI 1760448542


NPI Information

NPI: 1760448542
Provider Name: ARKANSAS CANCER CLINIC, PA

Doing Business As: ARKANSAS CANCER INSTITUTE

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
7200 SOUTH HAZEL
PINE BLUFF, AR
ZIP 71603
Phone: (870) 535-2800
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ARKANSAS CANCER CLINIC, PA is a hematology and oncology internal medicine in Pine Bluff, AR. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. ARKANSAS CANCER CLINIC, PA NPI is 1760448542. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Arkansas Cancer Institute.

The provider's business location address is:

7200 SOUTH HAZEL
PINE BLUFF, AR
ZIP 71603
Phone: (870) 535-2800
Fax: (870) 535-2801

The provider's authorized official is Omar Taimoor Atiq .
The authorized official title is President and has the following contact phone number (870) 535-2800.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 12/17/2009.


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
1174400000XSpecialistNo
2207RH0003XInternal MedicineHematology & OncologyR4174ARKANSASYes

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
15B134MEDICARE PINARKANSAS
2119286002MEDICAIDARKANSAS

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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