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NPI Code Detail

MEDICARE: MEDICAL ONCOLOGY ASSOCIATES, P.S.

MEDICARE: MEDICAL ONCOLOGY ASSOCIATES, P.S.
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
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125309OTHERWAGROUP HEALTH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215980198
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL ONCOLOGY ASSOCIATES, P.S.
Provider Business Mailing Address
First Line : PO BOX 996
Second Line :
City : HAYDEN
State : ID
Zip : 83835-0996
Country : US
Telephone Number : 208-664-4026
Fax Number : 208-664-4840
Provider Business Practice Location Address
First Line : 6001 N MAYFAIR ST
Second Line :
City : SPOKANE
State : WA
Zip : 99208-1129
Country : US
Telephone Number : 509-462-2273
Fax Number : 509-462-2275
Authorized Official
Title or Position : PHYSICIAN/OWNER
Name : DR. ARVIND CHAUDHRY
Credential : MD
Telephone Number : 509-462-2273
Provider Enumeration Date : 05/19/2006
Last Update Date : 06/04/2009

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Practice Location Address:
6001 N MAYFAIR ST
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99208-1129
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SPOKANE, WA
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1255659561 — MEDICAL ONCOLOGY ASSOCIATES PS
Practice Location Address:
6001 N MAYFAIR ST
SPOKANE, WA
99208-1129
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Practice Fax: 509-462-2275

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