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MICHIANA HEMATOLOGY-ONCOLOGY P C NPI 1942349345


NPI Information

NPI: 1942349345
Provider Name: MICHIANA HEMATOLOGY-ONCOLOGY P C
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 15D2281998

Address:
500 ARCADE AVE
SUITE 240
ELKHART, IN
ZIP 46514
Phone: (574) 389-0414
Get Directions

MICHIANA HEMATOLOGY-ONCOLOGY P C is a hematology and oncology internal medicine in Elkhart, IN. The provider is 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. MICHIANA HEMATOLOGY-ONCOLOGY P C NPI is 1942349345. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

500 ARCADE AVE
SUITE 240
ELKHART, IN
ZIP 46514-477
Phone: (574) 389-0414
Fax: (574) 389-0380

The provider's authorized official is Rafat H Ansari .
The authorized official title is President and has the following contact phone number (574) 234-5123.

The CLIA number assigned to this NPI record is 15D2281998 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 7/3/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0201XObstetrics & GynecologyGynecologic OncologyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100389430MEDICAIDINDIANA
21176700001OTHERINDIANANSC
3216950MEDICARE ID-TYPE UNSPECIFIEDINDIANA
41176700006MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.