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EVANSVILLE CANCER CARE PC NPI 1689896862


NPI Information

NPI: 1689896862
Provider Name: EVANSVILLE CANCER CARE PC
Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

CLIA Number: 15D1053278

Address:
724 N BURKHARDT RD
EVANSVILLE, IN
ZIP 47715
Phone: (812) 475-1948
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EVANSVILLE CANCER CARE PC is a medical oncology internal medicine in Evansville, IN. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. EVANSVILLE CANCER CARE PC NPI is 1689896862. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

724 N BURKHARDT RD
EVANSVILLE, IN
ZIP 47715-740
Phone: (812) 475-1948
Fax: (812) 401-5777

The provider's authorized official is Lotfi Hadad .
The authorized official title is Owner and has the following contact phone number (812) 475-1948.

The CLIA number assigned to this NPI record is 15D1053278 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 1/18/2008.


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
1207RI0200XInternal MedicineInfectious Disease01063229AINDIANANo
2207RX0202XInternal MedicineMedical Oncology01059087AINDIANAYes

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
1234140MEDICARE PININDIANA

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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