Organization
TRI-STATE REGIONAL CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANJAN P BHANDARI MD (PRESIDENT)
(330) 385-0404
Entity
Organization
Contact information
Practice address
15898 SAINT CLAIR AVE, EAST LIVERPOOL, OH 43920-9122
(330) 385-0404
Mailing address
PO BOX 200, EAST LIVERPOOL, OH 43920-5200
(330) 385-0404
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001323569
MOUNTAIN STATE BLUE SHIEL
WV
05
—
1537613
—
OH
Enumeration date
07/28/2006
Last updated
07/21/2015
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