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Contact Information

SOUTH ARKANSAS HEMATOLOGY & ONCOLOGY CLINIC PA
1716 DOCTOR DR.
PINE BLUFF, AR71603-6367
 Phone: 870-534-1188
 Fax: 870-534-0188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SOUTH ARKANSAS HEMATOLOGY & ONCOLOGY CLINIC PA

NPI Number 1093986358
LBN Legal business name SOUTH ARKANSAS HEMATOLOGY & ONCOLOGY CLINIC PA
Authorized official MOHAMMAD MALIK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2008
Last updated 10/07/2009 - About 17 years ago
Identifiers
AR License # C8506
AR Medicaid 125074001
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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