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NPI Code Detail

MEDICARE: CANCER AND BLOOD DISEASE CENTER

MEDICARE: CANCER AND BLOOD DISEASE CENTER
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
1207RH0003XHematology & Oncology Physician50003335IN

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 : 1396736435
Entity Type Code : Organization
Provider Name (Legal Business Name) : CANCER AND BLOOD DISEASE CENTER
Provider Business Mailing Address
First Line : 1401 CHESTER BLVD
Second Line : SUITE C
City : RICHMOND
State : IN
Zip : 47374-1908
Country : US
Telephone Number : 765-983-3245
Fax Number : 765-983-3247
Provider Business Practice Location Address
First Line : 1401 CHESTER BLVD
Second Line : SUITE C
City : RICHMOND
State : IN
Zip : 47374-1908
Country : US
Telephone Number : 765-983-3245
Fax Number : 765-983-3247
Authorized Official
Title or Position : PRESIDENT
Name : DR. BHARAT L. AGRAWAL
Credential : M.D.
Telephone Number : 765-983-3245
Provider Enumeration Date : 10/28/2005
Last Update Date : 08/22/2020

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Directions to “CANCER AND BLOOD DISEASE CENTER ” Practice Location

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