MEDICARE: MEDICAL ONCOLOGY-HEMATOLOGY ASSOCIATES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649261470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL ONCOLOGY-HEMATOLOGY ASSOCIATES INC.

Provider Business Mailing Address
First Line	:	1 ELIZABETH PL
Second Line	:	10 TH FLOOR SUITE 10B
City	:	DAYTON
State	:	OH
Zip	:	45417-3445
Country	:	US
Telephone Number	:	937-223-2183
Fax Number	:	937-223-2185

Provider Business Practice Location Address
First Line	:	1 ELIZABETH PL
Second Line	:	10 TH FLOOR SUITE 10B
City	:	DAYTON
State	:	OH
Zip	:	45417-3445
Country	:	US
Telephone Number	:	937-223-2183
Fax Number	:	937-223-2185

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	LAURA FRANCIS
Credential	:	BS,MLT(ASCP)
Telephone Number	:	937-223-2183

Provider Enumeration Date	:	11/01/2005
Last Update Date	:	01/05/2010

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