Organization
CANCER CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFTAB CHAUDHRY MD (OWNER/OFFICER)
(812) 945-4000
Entity
Organization
Contact information
Practice address
2210 GREEN VALLEY RD STE 1, STE1, NEW ALBANY, IN 47150-4648
(812) 945-4000
Mailing address
2210 GREEN VALLEY RD, STE 1, NEW ALBANY, IN 47150-4648
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
50003500A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100116760
—
IN
05
—
65926412
—
KY
Enumeration date
07/03/2006
Last updated
11/04/2008
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