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KATMAI ONCOLOGY GROUP LLC NPI 1821030206


NPI Information

NPI: 1821030206
Provider Name: KATMAI ONCOLOGY GROUP, LLC
Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

CLIA Number: 02D0869756

Address:
3851 PIPER STREET
#U340
ANCHORAGE, AK
ZIP 99508
Phone: (907) 562-0321
Get Directions

KATMAI ONCOLOGY GROUP, LLC is a medical oncology internal medicine in Anchorage, AK. 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. KATMAI ONCOLOGY GROUP, LLC NPI is 1821030206. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3851 PIPER STREET
#U340
ANCHORAGE, AK
ZIP 99508-627
Phone: (907) 562-0321
Fax: (907) 562-2683

The provider's authorized official is Marija Bakrac .
The authorized official title is Credentialing and has the following contact phone number (907) 562-0321.

The CLIA number assigned to this NPI record is 02D0869756 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 2/12/2021.


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
1174400000XSpecialistNo
2207RX0202XInternal MedicineMedical 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
1MDG5261MEDICAIDALASKA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.