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MUSKOGEE CANCER CLINIC INC PC NPI 1831379361


NPI Information

NPI: 1831379361
Provider Name: MUSKOGEE CANCER CLINIC INC PC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
3206 W OKMULGEE AVE
MUSKOGEE, OK
ZIP 74401
Phone: (918) 686-8500
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MUSKOGEE CANCER CLINIC INC PC is a hematology and oncology internal medicine in Muskogee, OK. 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. MUSKOGEE CANCER CLINIC INC PC NPI is 1831379361. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3206 W OKMULGEE AVE
MUSKOGEE, OK
ZIP 74401
Phone: (918) 686-8500
Fax: (918) 686-8900

The provider's authorized official is Hani George Jumean .
The authorized official title is Owner President and has the following contact phone number (918) 686-8500.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 11/13/2007.


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
1207RH0003XInternal MedicineHematology & Oncology18238OKLAHOMAYes

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
1E50910MEDICARE UPINOKLAHOMA
2393783545002OTHEROKLAHOMABCBS OF OK

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: 11/14/2023

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