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FREDERICK ONCOLOGY HEMATOLOGY ASSOCIATES P.C. NPI 1457403644


NPI Information

NPI: 1457403644
Provider Name: FREDERICK ONCOLOGY HEMATOLOGY ASSOCIATES, P.C.
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
46 BTHOMAS JOHNSON DRIVE
SUITE 200
FREDERICK, MD
ZIP 21702
Phone: (301) 695-6777
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FREDERICK ONCOLOGY HEMATOLOGY ASSOCIATES, P.C. is a hematology and oncology internal medicine in Frederick, MD. 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. FREDERICK ONCOLOGY HEMATOLOGY ASSOCIATES, P.C. NPI is 1457403644. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

46 BTHOMAS JOHNSON DRIVE
SUITE 200
FREDERICK, MD
ZIP 21702-300
Phone: (301) 695-6777

The provider's authorized official is A Zakaria Hegazi .
The authorized official title is Vice President and has the following contact phone number (301) 695-6777.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 9/27/2013.


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 & OncologyYes

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
1CI1463OTHERMARYLANDR.R MEDICARE
2KF89FROTHERMARYLANDCAREFIRST MARYLANF
3218702700MEDICAIDMARYLAND
4010068746MEDICAIDVIRGINIA
54046819MEDICAIDTENNESSEE
60081294000MEDICAIDWEST VIRGINIA
79294621MEDICARE PINWEST VIRGINIA
8627LMEDICARE ID-TYPE UNSPECIFIEDMARYLAND
9QPB988MEDICAIDSOUTH CAROLINA
100196OTHERMARYLANDCAREFIRST FEDERAL /NASCO
111457403644OTHERMARYLANDNPI

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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