Organization
HEMATOLOGY ONCOLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR AHMAD M. D. (OWNER)
(731) 234-2425
Entity
Organization
Contact information
Practice address
367 HOSPITAL BLVD, 4TH FLOOR, JACKSON, TN 38305-2080
(731) 234-2425
(731) 410-6824
Mailing address
PO BOX 11076, JACKSON, TN 38308-0117
(731) 868-4441
(731) 410-6824
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
MD29190
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3734537
—
TN
Enumeration date
08/12/2006
Last updated
02/24/2009
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