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Contact Information

ANCHORAGE ONCOLOGY CENTRE,LLC
4231 LAKE OTIS PKWY
SUITE B2
ANCHORAGE, AK99508-5214
 Phone: 907-569-2627
 Fax: 907-569-2626
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ANCHORAGE ONCOLOGY CENTRE,LLC

NPI # 1043345259
LBN Legal business name ANCHORAGE ONCOLOGY CENTRE,LLC
Authorized official LATHA SUBRAMANIAN - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2007
Last updated 03/07/2023 - About 3 years ago
Identifiers
AK License # AA2285
AK Medicaid MD2285
AK Other AA2285 STATE MEDICAL LICENSE
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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