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Organization
MICHIANA HEMATOLOGY-ONCOLOGY P C
Active
Organization
MICHIANA HEMATOLOGY-ONCOLOGY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILAL ANSARI MD (PRESIDENT/OWNER)
(574) 261-0794
Entity
Organization
Contact information
Practice address
5340 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1470
(800) 860-8100
(574) 237-1328
Mailing address
3975 WILLIAM RICHARDSON DR, SOUTH BEND, IN 46628-9800
(800) 860-8100
(574) 237-1341
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
50002882A
IN
207VX0201X
Gynecologic Oncology Physician
50002882A
IN
2085R0001X
Radiation Oncology Physician
50002882A
IN
332900000X
Non-Pharmacy Dispensing Site
50002882A
IN
332B00000X
Durable Medical Equipment & Medical Supplies
50002882A
IN
Other
Enumeration date
10/19/2011
Last updated
07/02/2026
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