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CANCER TREATMENT SPECIALIST PC NPI 1386112092


NPI Information

NPI: 1386112092
Provider Name: CANCER TREATMENT SPECIALIST, PC
Classification: Surgery - 2086X0206X
Entity Type: Organization

Specialization: Surgical Oncology

CLIA Number: 03D2167366

Address:
85 MAUI LANI PKWY
WAILUKU, HI
ZIP 96793
Phone: (808) 442-5700
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CANCER TREATMENT SPECIALIST, PC is a surgical oncology surgery in Wailuku, HI. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. CANCER TREATMENT SPECIALIST, PC NPI is 1386112092. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

85 MAUI LANI PKWY
WAILUKU, HI
ZIP 96793-416
Phone: (808) 442-5700
Fax: (808) 442-5701

The provider's authorized official is Derrick Jerome Beech .
The authorized official title is President And Ceo and has the following contact phone number (615) 887-1114.

The CLIA number assigned to this NPI record is 03D2167366 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2018 and was last updated on 11/12/2018.


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
12086X0206XSurgerySurgical OncologyYes

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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