Healthcare Provider Details

I. General information

NPI: 1144367236
Provider Name (Legal Business Name): ONCOLOGY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 04/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 LOCUST AVE
FAIRMONT WV
26554-1435
US

IV. Provider business mailing address

1235 LOCUST AVENUE
FAIRMONT WV
26554
US

V. Phone/Fax

Practice location:
  • Phone: 304-624-2992
  • Fax:
Mailing address:
  • Phone: 304-624-2992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: KIRTI K JAIN
Title or Position: PRESIDENT
Credential: MD
Phone: 606-836-0202