CANCER CARE PLC NPI 1265628226

NPI Information

  • NPI: 1265628226
  • Provider Name: CANCER CARE, PLC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Doing Business As: CLARKSVILLE CANCER CARE
  • CLIA Number: 44D1083231
  • Address: 274 CLEAR SKY CT
    CLARKSVILLE CANCER CARE
    CLARKSVILLE, TN
    ZIP 37043
  • Phone: (931) 802-8056

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NPI Details

CANCER CARE, PLC is a hematology and oncology internal medicine in Clarksville, TN. 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. CANCER CARE, PLC NPI is 1265628226. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clarksville Cancer Care.

The provider's business location address is:

274 CLEAR SKY CT
CLARKSVILLE CANCER CARE
CLARKSVILLE, TN
ZIP 37043-653
Phone: (931) 802-8056
Fax: (931) 802-8059

The provider's authorized official is Jigar Kanubhai Shah .
The authorized official title is President and has the following contact phone number (931) 802-8056.

The CLIA number assigned to this NPI record is 44D1083231 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2007 and was last updated on 11/17/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & Oncology39642TENNESSEEYes

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
13370182MEDICARE PINTENNESSEE

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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