Organization
MICHIANA HEMATOLOGY-ONCOLOGY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILAL ANSARI MD (PRESIDENT)
(574) 261-0794
Entity
Organization
Contact information
Practice address
5340 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1470
(574) 237-1328
(574) 968-8488
Mailing address
PO BOX 746092, ATLANTA, GA 30374-6092
(574) 237-1328
(574) 237-1348
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100389430
—
IN
01
—
1176700001
DMERC
IN
01
—
1560285
NCPDP
IN
01
—
CB5227
RRMC
IN
Enumeration date
02/05/2007
Last updated
05/14/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us