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Organization

PROSTATE CANCER INSTITUTE OF AMERICA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AJAY BHATNAGAR MD (OWNER/PHYSICIAN)
(480) 360-4009
Entity
Organization

Contact information

Practice address
1445 W CHANDLER BLVD STE A5, CHANDLER, AZ 85224-6130
(480) 360-4009
Mailing address
1445 W CHANDLER BLVD STE A5, CHANDLER, AZ 85224-6130
(480) 360-4009

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Enumeration date
10/14/2024
Last updated
10/14/2024
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