Organization
MEDICAL ONCOLOGY INC
Active
Parent organization
MEDICAL ONCOLOGY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL ONCOLOGY INC
Authorized official
MTANIUS A SULTANI (AUTHORIZED OFFICIAL)
(662) 627-7163
Entity
Organization
Contact information
Practice address
581 MEDICAL DR, CLARKSDALE, MS 38614
(662) 627-7163
(662) 627-7150
Mailing address
PO BOX 1887, CLARKSDALE, MS 38614
(662) 627-7163
(662) 627-7150
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Enumeration date
02/27/2006
Last updated
07/21/2020
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