Provider Demographics
NPI:1629843651
Name:NOVA ONCOLOGY PLLC
Entity Type:Organization
Organization Name:NOVA ONCOLOGY PLLC
Other - Org Name:NOVA ONCOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RAGHAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABDUL-KARIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-317-7966
Mailing Address - Street 1:4413 N MCCOLL ROAD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2464
Mailing Address - Country:US
Mailing Address - Phone:956-317-7966
Mailing Address - Fax:956-682-0018
Practice Address - Street 1:4413 N MCCOLL ROAD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2464
Practice Address - Country:US
Practice Address - Phone:956-317-7966
Practice Address - Fax:956-682-0018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Multi-Specialty
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty