National Provider Identifier Database

MICHIANA HEMATOLOGY ONCOLOGY P C
Hematology & Oncology

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.


Contact Information

MICHIANA HEMATOLOGY-ONCOLOGY P C
5340 HOLY CROSS PKWY
MISHAWAKA, IN46545-1470
Phone: 574-237-1328
Fax: 574-968-8488
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Non-Pharmacy Dispensing Site 332900000X

* Indicates primary specialty

NPI Profile & details for MICHIANA HEMATOLOGY-ONCOLOGY P C

NPI Number 1003955485
Legal business name
LBN
MICHIANA HEMATOLOGY-ONCOLOGY P C
Authorized official BILAL ANSARI - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/05/2007
Last updated 05/14/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • IN Medicaid: 100389430
  • IN Other: 1176700001 DMERC
  • IN Other: 1560285 NCPDP
  • IN Other: CB5227 RRMC

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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