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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
5340 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1470
(574) 237-1328
(574) 968-9442
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100389430
—
IN
01
—
1176700001
NSC
IN
Enumeration date
02/05/2007
Last updated
07/02/2026
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