Cancer Care Center Of Southern Indiana, Llc in Bloomington - Specialist
Cancer Care Center Of Southern Indiana, Llc - NPI 1184825242
Cancer Care Center Of Southern Indiana, Llc is a Specialist in Bloomington, Indiana. Cancer Care Center Of Southern Indiana, Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Cancer Care Center Of Southern Indiana, Llc is 1184825242. The last update date is 2020-08-22.
Cancer Care Center Of Southern Indiana, Llc's current location address is 514 W 2nd St, Bloomington, Indiana. You can contact this provider via phone number 8123231535 and fax number 8123230145. The mailing address for Cancer Care Center Of Southern Indiana, Llc is 514 W 2nd St, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cancer Care Center Of Southern Indiana, Llc |
|---|---|
| Address | 514 W 2nd St, Bloomington, Indiana |
| Phone Number | 8123231535 |
| Fax Number | 8123230145 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Koneru S Karuna |
| Credentials | MD |
| Telephone Number | 8123231535 |
NPI Number Detail
| NPI Number | 1184825242 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 514 W 2nd St |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474032316 |
| Phone Number | 8123231535 |
| Fax Number | 8123230145 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1045226 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31149 | IN | BCBS NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Cancer Care Center Of Southern Indiana, Llc by the Centers for Medicare & Medicaid Services?
The Cancer Care Center Of Southern Indiana, Llc has been issued the NPI (National Provider Identifier) 1184825242 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Cancer Care Center Of Southern Indiana, Llc's physical address?
The Cancer Care Center Of Southern Indiana, Llc is physically located at 514 W 2Nd St, in the city of Bloomington, IN, with the postal code 474032316.
What is Cancer Care Center Of Southern Indiana, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Cancer Care Center Of Southern Indiana, Llc's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When did Cancer Care Center Of Southern Indiana, Llc receive its 1184825242 assignment?
The Cancer Care Center Of Southern Indiana, Llc was assigned its 1184825242 on 2007-05-29, which is the date when this unique identifier was issued to the organization.
When was the Cancer Care Center Of Southern Indiana, Llc's information last updated?
The Cancer Care Center Of Southern Indiana, Llc's information was last updated on 2020-08-22.
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