Michiana Hematology-Oncology P C

LBN: Michiana Hematology-Oncology P C
Michiana Hematology-Oncology P C is an health care organization with primary practice located at 5340 Holy Cross Pkwy , Mishawaka IN 46545-1470. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Radiation Oncology, Suppliers / Non-Pharmacy Dispensing Site, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Medical Oncology is the primary health care specialty. Michiana Hematology-Oncology P C can be contacted via phone (574) 237-1328, or through Ansari, Bilal via phone (574) 237-1328.

Contact Information

Primary practice address
5340 Holy Cross Pkwy Mishawaka IN 46545-1470
Phone: (574) 237-1328
Fax: (574) 237-1348
Website:
Map and Directions
Authorized official contact:
Name: Ansari, Bilal Doctor of Medicine (MD)
Phone: (574) 237-1328

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X
Suppliers / Non-Pharmacy Dispensing Site 332900000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1619970183
LBN Legal business name Michiana Hematology-Oncology P C
DBA Doing business as
Authorized official Ansari, Bilal Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2005
Last updated Nov 15th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619970183 NPPES
Indiana MEDICAID 100389430H
Indiana MEDICAID 300009110
Indiana Other CB52227
Indiana MEDICAID 100389430C
Indiana Other 1560297
Indiana MEDICAID 100389430M
Indiana MEDICAID 100389430J

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