Organization
ARIZONA HEMATOLOGY ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH B KATAKKAR MD (OWNER/PRESIDENT)
(520) 297-8429
Entity
Organization
Contact information
Practice address
6130 N LACHOLLA BLVD, 117, TUCSON, AZ 85741
(520) 297-8429
(520) 297-2913
Mailing address
PO BOX 36210, TUCSON, AZ 85740-6210
(520) 297-8429
(520) 297-2913
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
11471
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215336
—
AZ
Enumeration date
06/30/2006
Last updated
10/15/2009
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