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Organization
HEMATOLOGY ONCOLOGY PHYSICIANS EAST KENTUCKY PSC
Active
Organization
HEMATOLOGY ONCOLOGY PHYSICIANS EAST KENTUCKY PSC
Active
Other names
HOPE KY PSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISAHARAN SIVASUBRAMANIAM M.D. (OWNER)
(606) 344-2444
Entity
Organization
Contact information
Practice address
2737 NORTH LAUREL ROAD, LONDON, KY 40741
(606) 843-2783
(606) 862-4899
Mailing address
73 THOMPSON POYNTER ROAD, SUITE B, LONDON, KY 40741
(606) 344-2444
(606) 862-4899
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
38197
KY
207RX0202X
Medical Oncology Physician
38197
KY
208600000X
Surgery Physician
40196
KY
208C00000X
Colon & Rectal Surgery Physician
40196
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65942567
—
KY
Enumeration date
10/10/2006
Last updated
02/11/2009
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