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NPI Code Detail

MEDICARE: SPRINGFIELD HEMATOLOGY AND ONCOLOGY ASSOCIATES, INC

MEDICARE: SPRINGFIELD HEMATOLOGY AND ONCOLOGY 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
1174400000XSpecialist

General Provider Information

NPI Number : 1841225190
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRINGFIELD HEMATOLOGY AND ONCOLOGY ASSOCIATES, INC
Provider Business Mailing Address
First Line : 148 W NORTH ST
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45504-2547
Country : US
Telephone Number : 937-323-5001
Fax Number : 937-323-5413
Provider Business Practice Location Address
First Line : 148 W NORTH ST
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45504-2547
Country : US
Telephone Number : 937-323-5001
Fax Number : 937-323-5413
Authorized Official
Title or Position : PRESIDENT
Name : RAVI C KHANNA
Credential : MD
Telephone Number : 93732354001
Provider Enumeration Date : 07/12/2006
Last Update Date : 07/27/2007

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