Organization
SOUTHEAST ARKANSAS ONCOLOGY, PA
Active
Other names
Arkansas Cancer Institute of Pine Bluff
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHID HAMEED MD (OWNER)
(870) 939-6300
Entity
Organization
Contact information
Practice address
7200 S HAZEL ST, PINE BLUFF, AR 71603-7836
(870) 939-6300
Mailing address
7200 S HAZEL ST, PINE BLUFF, AR 71603-7836
(870) 939-6300
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-1401
STATE LICENSE
AR
Enumeration date
01/18/2019
Last updated
01/18/2019
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