Provider Demographics
NPI:1013206457
Name:AMRUT HEMATOLOGY ONCOLOGY PC
Entity Type:Organization
Organization Name:AMRUT HEMATOLOGY ONCOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANSHU
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHRISHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-547-1674
Mailing Address - Street 1:PO BOX 7409
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11802-7409
Mailing Address - Country:US
Mailing Address - Phone:516-547-1674
Mailing Address - Fax:
Practice Address - Street 1:250-12B HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:BELLROSE
Practice Address - State:NY
Practice Address - Zip Code:11426
Practice Address - Country:US
Practice Address - Phone:888-785-3430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252587207RH0003X, 261QX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
No261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncologyGroup - Single Specialty