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General NPI Number Information
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NPI Number | 1558835975
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Entity Type | Organization
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Legal Business Name | SOUTHEAST ARKANSAS ONCOLOGY, PA
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Dates
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Enumeration Date | 01/18/2019
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Last Update Date | 01/18/2019
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Provider Practice Location Address
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Address Line | 7200 S HAZEL ST
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City | PINE BLUFF
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State | AR
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Zip | 71603-7836
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Country | US
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Telephone | 870-939-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 7200 S HAZEL ST
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City | PINE BLUFF
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State | AR
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Zip | 71603-7836
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Country | US
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Telephone | 870-939-6300
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHAHID HAMEED
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Credential | MD
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Telephone | 870-939-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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