Organization
HEMATOLOGY ONCOLOGY PHYSICIANS EAST KENTUCKY PSC
Active
Other names
HOPE KY PSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISAHARAN SIVASUBRAMANIAM M.D. (OWNER)
(606) 344-2444
Entity
Organization
Contact information
Practice address
2737 NORTH LAUREL ROAD, LONDON, KY 40741
(606) 843-2783
(606) 862-4899
Mailing address
73 THOMPSON POYNTER ROAD, SUITE B, LONDON, KY 40741
(606) 344-2444
(606) 862-4899
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
38197
KY
207RX0202X
Medical Oncology Physician
38197
KY
208600000X
Surgery Physician
40196
KY
208C00000X
Colon & Rectal Surgery Physician
40196
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65942567
—
KY
Enumeration date
10/10/2006
Last updated
02/11/2009
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