Provider Demographics
NPI:1760023865
Name:AVAM CANCER & BLOOD SPECIALISTS, LLC
Entity Type:Organization
Organization Name:AVAM CANCER & BLOOD SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARJUN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-574-0708
Mailing Address - Street 1:3541 W BRADDOCK RD STE 150
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22302-1923
Mailing Address - Country:US
Mailing Address - Phone:703-574-0708
Mailing Address - Fax:703-574-0709
Practice Address - Street 1:3541 W BRADDOCK RD STE 150
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-1923
Practice Address - Country:US
Practice Address - Phone:703-574-0708
Practice Address - Fax:703-574-0709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-01
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematologyGroup - Multi-Specialty
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Multi-Specialty