# AVENUE HEMATOLOGY AND ONCOLOGY LLC

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

## Provider details

- **NPI number:** 1942559380
- **Authorized official:** WILLIAM S KAMANDA (CEO)
- **Authorized official phone:** (574) 968-4100

## Contact information

- **Practice address:** 54505 26TH ST STE C, SOUTH BEND, IN 46635-1961
- **Practice address phone:** (574) 968-4100
- **Practice address fax:** (574) 968-4125
- **Mailing address:** PO BOX 6128, SOUTH BEND, IN 46660-6128
- **Mailing address phone:** (574) 968-4100
- **Mailing address fax:** (874) 968-4125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/30/2012
- **Last updated:** 06/06/2025