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NPI Code Detail

MEDICARE: MEDICAL ONCOLOGY ASSOCIATES, INC.

MEDICARE: MEDICAL ONCOLOGY ASSOCIATES, INC.
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
1261QM2500XMedical Specialty Clinic/Center35 . 053339OH
2261QX0200XOncology Clinic/Center35 . 053339OH

Other Identifiers

General Provider Information

NPI Number : 1396742557
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL ONCOLOGY ASSOCIATES, INC.
Provider Business Mailing Address
First Line : 29349 GATES MILLS BLVD
Second Line :
City : PEPPER PIKE
State : OH
Zip : 44124-4651
Country : US
Telephone Number : 216-831-6493
Fax Number : 216-831-6413
Provider Business Practice Location Address
First Line : 2412 LAKE AVE
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-4977
Country : US
Telephone Number : 440-997-7785
Fax Number : 440-998-0652
Authorized Official
Title or Position : PRESIDENT
Name : DR. MOHAMMAD ALI VARGHAI
Credential : M.D.
Telephone Number : 440-997-7785
Provider Enumeration Date : 07/02/2005
Last Update Date : 12/13/2007

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Directions to “MEDICAL ONCOLOGY ASSOCIATES, INC. ” Practice Location

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