Organization
MIDWEST BLOOD AND CANCER SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JYOTHI CHALLA MD (OWNER)
(937) 398-1971
Entity
Organization
Contact information
Practice address
2355 DERR RD, SPRINGFIELD, OH 45503-2439
(937) 398-1971
(937) 629-3601
Mailing address
2355 DERR RD, SPRINGFIELD, OH 45503-2439
(937) 398-1971
(937) 629-3601
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35-090413
OH
Other
Enumeration date
04/28/2015
Last updated
06/12/2015
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