Healthcare Provider Details

I. General information

NPI: 1174572192
Provider Name (Legal Business Name): EVANSVILLE CANCER CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 N BURKHARDT RD
EVANSVILLE IN
47715-2740
US

IV. Provider business mailing address

PO BOX 5646
EVANSVILLE IN
47716-5646
US

V. Phone/Fax

Practice location:
  • Phone: 812-474-1110
  • Fax: 812-477-4153
Mailing address:
  • Phone: 812-474-1110
  • Fax: 812-473-2619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LOTFI HADAD
Title or Position: OWNER
Credential: MEDICAL DOCTOR
Phone: 812-474-1110