KOTA CANCER CLINIC PLLC NPI 1124407077

NPI Information

KOTA CANCER CLINIC PLLC is an oncology clinic center in Hot Springs, AR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. KOTA CANCER CLINIC PLLC NPI is 1124407077. The provider is registered as an organization entity type.

The provider's business location address is:

180 MEDICAL PARK PL
SUITE 201
HOT SPRINGS, AR
ZIP 71901-065
Phone: (501) 463-5700
Fax: (501) 463-5710

The provider's authorized official is Manjusha Kota .
The authorized official title is Physician and has the following contact phone number (501) 463-5700.

The CLIA number assigned to this NPI record is 04D2102180 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/26/2015 and was last updated on 12/11/2015.

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:

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