Organization
HOPE CANCER CENTER OF NORTHWEST OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI MADAN (CEO/PRESIDENT)
(419) 394-9696
Entity
Organization
Contact information
Practice address
1103 E SPRING ST, SAINT MARYS, OH 45885-2403
(419) 394-9696
Mailing address
825 W MARKET ST, SUITE 260, LIMA, OH 45805-2799
(419) 222-6595
(419) 222-6640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2435994
—
OH
Enumeration date
09/01/2006
Last updated
08/22/2020
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