Organization
BLOOD & CANCER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTHI MOHAN MD (MEDICAL PHYSICIAN)
(717) 632-1559
Entity
Organization
Contact information
Practice address
671 WILSON AVE, HANOVER, PA 17331-7902
(717) 632-1559
(717) 632-5557
Mailing address
671 WILSON AVENUE, HANOVER, PA 17331-7902
(717) 632-1559
(717) 632-5557
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD418310
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018946870001
—
PA
Enumeration date
01/12/2007
Last updated
12/02/2009
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