Provider Demographics
NPI:1275832974
Name:HEMONC CONSULTANTS
Entity Type:Organization
Organization Name:HEMONC CONSULTANTS
Other - Org Name:HEMATOLOGY AND ONCOLOGY CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEMATOLOGIST/ONCOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:PRIYA
Authorized Official - Middle Name:SHIVA
Authorized Official - Last Name:VISHNUBHOTLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-666-8024
Mailing Address - Street 1:2321 BUCKINGHAM RUN CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7837
Mailing Address - Country:US
Mailing Address - Phone:407-384-2692
Mailing Address - Fax:
Practice Address - Street 1:2321 BUCKINGHAM RUN CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7837
Practice Address - Country:US
Practice Address - Phone:407-384-2692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93654207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty