Organization
CANCER SPECIALISTS LLC
Active
Other names
Cancer Specialists of Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILAL ANSARI MD (PRESIDENT)
(574) 334-5400
Entity
Organization
Contact information
Practice address
600 VALE PARK RD N UNIT A, VALPARAISO, IN 46383-2546
(219) 462-4400
(219) 462-4401
Mailing address
100 E WAYNE ST STE 510, SOUTH BEND, IN 46601-2394
(574) 334-5400
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/06/2019
Last updated
04/19/2019
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