Provider Demographics
NPI:1073007787
Name:SOUTHWEST CANCER CARE LLC
Entity Type:Organization
Organization Name:SOUTHWEST CANCER CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEMANT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SINDHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-907-2327
Mailing Address - Street 1:198 S CORONADO DR STE A
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-6357
Mailing Address - Country:US
Mailing Address - Phone:520-220-5020
Mailing Address - Fax:520-220-5028
Practice Address - Street 1:198 S CORONADO DR STE A
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-6357
Practice Address - Country:US
Practice Address - Phone:520-220-5020
Practice Address - Fax:520-220-5028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-15
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology