Provider Demographics
NPI:1801864483
Name:MCANAW, BASIA A (MD)
Entity Type:Individual
Prefix:DR
First Name:BASIA
Middle Name:A
Last Name:MCANAW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:27 PARK STREET
Mailing Address - Street 2:CAPE COD HOSPITAL DAVENPORT MUGAR CANCER CENTER
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601
Mailing Address - Country:US
Mailing Address - Phone:508-862-5300
Mailing Address - Fax:508-790-4565
Practice Address - Street 1:27 PARK STREET
Practice Address - Street 2:CAPE COD HOSPITAL DAVENPORT MUGAR CANCER CENTER
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-862-5300
Practice Address - Fax:508-790-4565
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA752192085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA241228OtherHPHC
MA3087026Medicaid
MAJ11972OtherBCBS
J11972Medicare ID - Type Unspecified
F14233Medicare UPIN