Basic Information
| Provider Information | |||||||||
| NPI: | 1447579644 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALABAMA CANCER CARE, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 355 S 2ND ST | ||||||||
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| City: | GADSDEN | ||||||||
| State: | AL | ||||||||
| PostalCode: | 359015202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565470536 | ||||||||
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| Practice Location | |||||||||
| Address1: | 171 TOWN CENTER DR STE 6 | ||||||||
| Address2: | |||||||||
| City: | ANNISTON | ||||||||
| State: | AL | ||||||||
| PostalCode: | 36205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2568473369 | ||||||||
| FaxNumber: | 2568473469 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/27/2010 | ||||||||
| LastUpdateDate: | 08/26/2019 | ||||||||
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| AuthorizedOfficialLastName: | SENGAR | ||||||||
| AuthorizedOfficialFirstName: | ASHVINI | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2565470536 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | MD.30196 | AL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No ID Information.