Organization
SUNITI MEDICAL CORPORATION
Active
Other names
PREMIER ONCOLOGY HEMATOLOGY ASSOC
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY BENDT (OFFICE MANAGER)
(219) 736-2800
Entity
Organization
Contact information
Practice address
200 EAST 89TH AVENUE, SUITE 2A, MERRILLVILLE, IN 46410-7319
(219) 736-2800
Mailing address
200 EAST 89TH AVENUE, SUITE 2A, MERRILLVILLE, IN 46410-7319
(219) 736-2800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100201480A
—
IN
01
—
91115213
BLUE SHIELD IL
IL
01
—
CM0856
RR MEDICARE
—
Enumeration date
07/09/2006
Last updated
06/04/2008
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