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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 Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for MICHIANA HEMATOLOGY-ONCOLOGY P C

NPI Number 1003955485
LBN Legal business name MICHIANA HEMATOLOGY-ONCOLOGY P C
Authorized official BILAL ANSARI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2007
Last updated 05/14/2024 - About 2 years ago
Identifiers
IN Medicaid 100389430
IN Other 1176700001 DMERC
IN Other 1560285 NCPDP
IN Other CB5227 RRMC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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