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DELTA ONCOLOGY INC. NPI 1487099958


NPI Information

NPI: 1487099958
Provider Name: DELTA ONCOLOGY, INC.
Classification: Clinic/Center - 261QX0200X
Entity Type: Organization

Specialization: Oncology

CLIA Number: 25D1006836

Address:
333 HIGHWAY 82 W
GREENWOOD, MS
ZIP 38930
Phone: (662) 453-3167
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DELTA ONCOLOGY, INC. is an oncology clinic center in Greenwood, MS. 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. DELTA ONCOLOGY, INC. NPI is 1487099958. The provider is registered as an organization entity type.

The provider's business location address is:

333 HIGHWAY 82 W
GREENWOOD, MS
ZIP 38930-538
Phone: (662) 453-3167
Fax: (662) 453-9180

The provider's authorized official is Syed Rafique .
The authorized official title is Physician/owner and has the following contact phone number (662) 453-3167.

The CLIA number assigned to this NPI record is 25D1006836 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/9/2013 and was last updated on 9/10/2014.


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
1261QX0200XClinic/CenterOncology14648MISSISSIPPIYes

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
1DU4354OTHERRAILROAD MEDICARE PTAN
21871607598OTHERMISSISSIPPIPROVIDER NPI NUMBER
3G20121MEDICARE UPINMISSISSIPPI
407370553MEDICAIDMISSISSIPPI
5326762MEDICARE PINMISSISSIPPI

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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