# MIDWEST BLOOD AND CANCER SPECIALISTS, LLC

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

## Provider details

- **NPI number:** 1720465818
- **Authorized official:** JYOTHI CHALLA MD (OWNER)
- **Authorized official phone:** (937) 398-1971

## Contact information

- **Practice address:** 2355 DERR RD, SPRINGFIELD, OH 45503-2439
- **Practice address phone:** (937) 398-1971
- **Practice address fax:** (937) 629-3601
- **Mailing address:** 2355 DERR RD, SPRINGFIELD, OH 45503-2439
- **Mailing address phone:** (937) 398-1971
- **Mailing address fax:** (937) 629-3601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 35-090413 | OH | Yes |

## Other

- **Enumeration date:** 04/28/2015
- **Last updated:** 06/12/2015