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Organization
KINGMAN ONCOLOGY INSTITUTE LLC
Active
Organization
KINGMAN ONCOLOGY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHID MALIK MD (PRESIDENT)
(702) 882-1384
Entity
Organization
Contact information
Practice address
890 AIRWAY AVE, KINGMAN, AZ 86409-3588
(928) 681-1234
Mailing address
890 AIRWAY AVE, KINGMAN, AZ 86409-3588
(928) 681-1234
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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