PEDIATRIC HEMATOLOGY CLINIC LTD NPI 1003956343

NPI Information

NPI: 1003956343
Provider Name: PEDIATRIC HEMATOLOGY CLINIC LTD
Classification: Pediatrics - 2080P0207X
Specialization: Pediatric Hematology-Oncology
Entity Type: Organization
Address: 1000 E 21ST ST
SUITE 3100
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-7595

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NPI Details

PEDIATRIC HEMATOLOGY CLINIC LTD is a pediatric hematology-oncology pediatrics in Sioux Falls, SD. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. PEDIATRIC HEMATOLOGY CLINIC LTD NPI is 1003956343. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1000 E 21ST ST
SUITE 3100
SIOUX FALLS, SD
ZIP 57105-035
Phone: (605) 322-7595
Fax: (605) 322-7599

The provider's authorized official is Marwan Daoud Hanna .
The authorized official title is President and has the following contact phone number (605) 322-7595.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	1562	SOUTH DAKOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4997079	OTHER	SOUTH DAKOTA	BCBS OF SD GROUP NUMBER
2	3008526	OTHER	SOUTH DAKOTA	MEDICA GROUP NUMBER

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: 11/21/2025

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