Healthcare Provider Details

I. General information

NPI: 1841535655
Provider Name (Legal Business Name): INTEGRATIVE ONCOLOGY STRATEGIES,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2012
Last Update Date: 01/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 INJO DR
LAKE HAVASU CITY AZ
86403-5707
US

IV. Provider business mailing address

4932 SW 55TH PL
OCALA FL
34474-4753
US

V. Phone/Fax

Practice location:
  • Phone: 928-453-2636
  • Fax: 928-453-2638
Mailing address:
  • Phone: 925-457-1794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0203X
TaxonomyRadiation Oncology Clinic/Center
License Number46711
License Number StateAZ

VIII. Authorized Official

Name: DR. SACHIN S KAMATH
Title or Position: MANAGING DIRECTOR
Credential: MD
Phone: 925-457-1794