Healthcare Provider Details

I. General information

NPI: 1285687178
Provider Name (Legal Business Name): COMMONWEALTH HEMATOLOGY ONCOLOGY PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 BOGLE OFFICE PARK DR
SOMERSET KY
42503-2810
US

IV. Provider business mailing address

520 TECHWOOD DR N STE 100
DANVILLE KY
40422-8500
US

V. Phone/Fax

Practice location:
  • Phone: 606-677-1451
  • Fax:
Mailing address:
  • Phone: 859-936-9844
  • Fax: 859-236-0320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD NIAZI
Title or Position: PRESIDENT
Credential: MD
Phone: 859-936-9844