Organization
ELIZABETHTOWN HEMATOLOGY-ONCOLOGY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAWEED BEG (OFFICE MANGER)
(270) 769-6665
Entity
Organization
Contact information
Practice address
1107 WOODLAND DR, SUITE 105, ELIZABETHTOWN, KY 42701-2789
(270) 769-6665
(270) 769-0322
Mailing address
1107 WOODLAND DR, SUITE 105, ELIZABETHTOWN, KY 42701-2789
(270) 769-6665
(270) 769-0322
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1050030
PASSPORT
KY
05
—
65933970
—
KY
Enumeration date
11/16/2005
Last updated
04/09/2015
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