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Contact Information

COMMONWEALTH HEMATOLOGY ONCOLOGY PSC
95 BOGLE OFFICE PARK DR
SOMERSET, KY42503-2810
 Phone: 606-677-1451
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for COMMONWEALTH HEMATOLOGY ONCOLOGY PSC

NPI # 1285687178
LBN Legal business name COMMONWEALTH HEMATOLOGY ONCOLOGY PSC
Authorized official MUHAMMAD NIAZI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2006
Last updated 12/01/2025 - About 6 months ago
Identifiers
KY Medicaid 6593160
KY Medicaid 78903879
KY Other 000000060792 ANTHEM
KY Other 2435612000 PASSPORT ADVANTAGE
KY Other 1083462 PASSPORT HEALTH CARE
KY Other CA8281 RAILROAD MEDICARE
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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