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NPI Code Detail

MEDICARE: COMMUNITY HOSPTIAL ANDERSON MEDICAL ONCOLOGY

MEDICARE: COMMUNITY HOSPTIAL ANDERSON MEDICAL ONCOLOGY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QX0200XOncology Clinic/Center01059601IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114050556
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HOSPTIAL ANDERSON MEDICAL ONCOLOGY
Provider Business Mailing Address
First Line : PO BOX 68952
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-0952
Country : US
Telephone Number : 317-802-3153
Fax Number : 317-870-0499
Provider Business Practice Location Address
First Line : 1340 N MADISON AVE
Second Line :
City : ANDERSON
State : IN
Zip : 46011-1216
Country : US
Telephone Number : 765-298-1621
Fax Number : 765-298-4942
Authorized Official
Title or Position : OWNER
Name : TAHIR A NAQVI
Credential : MD
Telephone Number : 765-298-1621
Provider Enumeration Date : 03/14/2007
Last Update Date : 08/21/2008

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Directions to “COMMUNITY HOSPTIAL ANDERSON MEDICAL ONCOLOGY ” Practice Location

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