Organization
S.HASNAT AHMED, MD, APC
Active
Other names
ONCOLOGY AND HEMATOLOGY OF IMPERIAL VALLEY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE J CHROSTOWSKI (BILLING MANAGER)
(858) 292-4022
Entity
Organization
Contact information
Practice address
1410 S LA BRUCHERIE RD, EL CENTRO, CA 92243-9676
(760) 335-3030
(760) 335-3035
Mailing address
PO BOX 23058, SAN DIEGO, CA 92193-3058
(858) 292-4022
(858) 292-1898
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A54334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A543340
—
CA
01
—
DD4504
RR MEDICARE GROUP #
CA
05
—
GR0099820
—
CA
01
—
P00228825
RR MEDICARE PIN #
CA
01
—
ZZZ64379Z
BLUE SHIELD GROUP #
CA
Enumeration date
08/16/2006
Last updated
08/22/2020
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