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Organization

KINGMAN ONCOLOGY INSTITUTE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAHID MALIK MD (PRESIDENT)
(702) 882-1384
Entity
Organization

Contact information

Practice address
890 AIRWAY AVE, KINGMAN, AZ 86409-3588
(928) 681-1234
Mailing address
890 AIRWAY AVE, KINGMAN, AZ 86409-3588
(928) 681-1234

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Enumeration date
06/01/2023
Last updated
06/01/2023
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