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General NPI Number Information
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NPI Number | 1285687178
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Entity Type | Organization
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Legal Business Name | COMMONWEALTH HEMATOLOGY ONCOLOGY PSC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 95 BOGLE OFFICE PARK DR
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City | SOMERSET
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State | KY
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Zip | 42503-2810
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Country | US
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Telephone | 606-677-1451
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Fax |
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Provider Business Mailing Address
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Address Line | 520 TECHWOOD DR N STE 100
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City | DANVILLE
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State | KY
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Zip | 40422-8500
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Country | US
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Telephone | 859-936-9844
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Fax | 859-236-0320
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Authorized Official
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Title or Position | PRESIDENT
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Name | MUHAMMAD NIAZI
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Credential | MD
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Telephone | 859-936-9844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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