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LOGAN HEMATOLOGY-ONCOLOGY INC NPI 1649490731


NPI Information

NPI: 1649490731
Provider Name: LOGAN HEMATOLOGY-ONCOLOGY INC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
77 HOSPITAL DRIVE
LOGAN, WV
ZIP 25601
Phone: (304) 792-1116
Get Directions

LOGAN HEMATOLOGY-ONCOLOGY INC is a hematology and oncology internal medicine in Logan, WV. 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. LOGAN HEMATOLOGY-ONCOLOGY INC NPI is 1649490731. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

77 HOSPITAL DRIVE
LOGAN, WV
ZIP 25601-451
Phone: (304) 792-1116
Fax: (304) 792-1133

The provider's authorized official is Safique Ahmed .
The authorized official title is Doctor and has the following contact phone number (304) 792-1116.

The enumeration date for this NPI number is 4/30/2007 and was last updated on 3/26/2013.


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 & Oncology20171WEST VIRGINIAYes

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
19328351MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA
21801195001MEDICAIDWEST VIRGINIA
3G50756MEDICARE UPINWEST VIRGINIA

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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