National Provider Identifier Database

HEMATOLOGY ONCOLOGY PHYSICIANS EAST KENTUCKY PSC
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

HEMATOLOGY ONCOLOGY PHYSICIANS EAST KENTUCKY PSC
2737 NORTH LAUREL ROAD
LONDON, KY40741
Phone: 606-843-2783
Fax: 606-862-4899
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X
Colon & Rectal Surgery 208C00000X
Medical Oncology 207RX0202X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for HEMATOLOGY ONCOLOGY PHYSICIANS EAST KENTUCKY PSC

NPI Number 1720176522
Legal business name
LBN
HEMATOLOGY ONCOLOGY PHYSICIANS EAST KENTUCKY PSC
Authorized official VISAHARAN SIVASUBRAMANIAM - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/10/2006
Last updated 02/11/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 38197
  • KY License #: 40196
  • KY Medicaid: 65942567

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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