Organization
MEDICAL ONCOLOGY AND HEMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN A KAMBHU M.D. (M.D./PRESIDENT)
(402) 552-9800
Entity
Organization
Contact information
Practice address
4242 FARNAM ST, STE 590, OMAHA, NE 68131-2806
(402) 552-9800
(402) 552-9898
Mailing address
4242 FARNAM ST, STE 590, OMAHA, NE 68131-2806
(402) 552-9800
(402) 552-9898
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
20832
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025280000
—
NE
05
—
4260497
—
IA
05
—
502181506
—
MO
Enumeration date
08/30/2006
Last updated
06/16/2008
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