MEDICARE: NEBRASKA CANCER CARE, LLC

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
1	3336C0002X	Clinic Pharmacy
2	207RH0003X	Hematology & Oncology Physician	22433	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508843491
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEBRASKA CANCER CARE, LLC

Provider Business Mailing Address
First Line	:	815 N KANSAS AVE
Second Line	:	SUITE 100
City	:	HASTINGS
State	:	NE
Zip	:	68901-4470
Country	:	US
Telephone Number	:	402-460-5899
Fax Number	:	402-460-5619

Provider Business Practice Location Address
First Line	:	815 N KANSAS AVE
Second Line	:	SUITE 100
City	:	HASTINGS
State	:	NE
Zip	:	68901-4470
Country	:	US
Telephone Number	:	402-460-5899
Fax Number	:	402-460-5619

Authorized Official
Title or Position	:	OWNER
Name	:	ASHVINI SENGAR
Credential	:	M.D.
Telephone Number	:	402-460-5899

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	07/10/2007

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Directions to “NEBRASKA CANCER CARE, LLC ” Practice Location

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