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Contact Information

PROSTATE CANCER INSTITUTE OF AMERICA LLC
1445 W CHANDLER BLVD STE A5
CHANDLER, AZ85224-6130
 Phone: 480-360-4009
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for PROSTATE CANCER INSTITUTE OF AMERICA LLC

NPI # 1275353385
LBN Legal business name PROSTATE CANCER INSTITUTE OF AMERICA LLC
Authorized official AJAY BHATNAGAR - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/14/2024
Last updated 10/14/2024 - More than a year ago
Identifiers n/a
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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