# COMMUNITY HOSPTIAL ANDERSON MEDICAL ONCOLOGY

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

## Provider details

- **NPI number:** 1114050556
- **Authorized official:** TAHIR A NAQVI MD (OWNER)
- **Authorized official phone:** (765) 298-1621

## Contact information

- **Practice address:** 1340 N MADISON AVE, ANDERSON, IN 46011-1216
- **Practice address phone:** (765) 298-1621
- **Practice address fax:** (765) 298-4942
- **Mailing address:** PO BOX 68952, INDIANAPOLIS, IN 46268-0952
- **Mailing address phone:** (317) 802-3153
- **Mailing address fax:** (317) 870-0499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0200X | Oncology Clinic/Center | 01059601 | IN | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 08/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200492290 | — | IN |