Organization
ROSE CANCER CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEERA SACHDEVA MD (PHYSICIAN MEDICAL DIRECTOR)
(601) 249-5526
Entity
Organization
Contact information
Practice address
807 ROBB STREET, SUMMIT, MS 39666
(601) 957-7340
(601) 249-5529
Mailing address
PO BOX 1963, MCCOMB, MS 39649
(601) 249-5526
(601) 249-5529
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
18057
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08534501
—
MS
01
—
18057
LICENSE
MS
01
—
255558234A
BCBS
MS
Enumeration date
09/07/2006
Last updated
12/06/2010
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