# BLOOD & CANCER CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053461897
- **Authorized official:** DR. SHANTHI MOHAN MD (MEDICAL PHYSICIAN)
- **Authorized official phone:** (717) 632-1559

## Contact information

- **Practice address:** 671 WILSON AVE, HANOVER, PA 17331-7902
- **Practice address phone:** (717) 632-1559
- **Practice address fax:** (717) 632-5557
- **Mailing address:** 671 WILSON AVENUE, HANOVER, PA 17331-7902
- **Mailing address phone:** (717) 632-1559
- **Mailing address fax:** (717) 632-5557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | MD418310 | PA | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 12/02/2009