KOTA CANCER CLINIC PLLC; NPI #1124407077

Contact Information

KOTA CANCER CLINIC PLLC

180 MEDICAL PARK PL
SUITE 201
HOT SPRINGS, AR 71901-8065

Phone: 501-463-5700
Fax: 501-463-5710
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oncology	261QX0200X

Indicates primary specialty

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NPI Profile & details for KOTA CANCER CLINIC PLLC

NPI Number	`1124407077`
LBN Legal business name	KOTA CANCER CLINIC PLLC
Authorized official	MANJUSHA KOTA - (PHYSICIAN)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/26/2015
Last updated	12/11/2015 - About 10 years 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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