Provider Demographics
NPI:1851799746
Name:ARKANSAS HEMATOLOGY AND ONCOLOGY PLLC
Entity Type:Organization
Organization Name:ARKANSAS HEMATOLOGY AND ONCOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEERAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:BHARANY
Authorized Official - Suffix:
Authorized Official - Credentials:M,D
Authorized Official - Phone:501-625-3334
Mailing Address - Street 1:111 CORDOBA CENTER DR
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71909-4093
Mailing Address - Country:US
Mailing Address - Phone:501-226-3220
Mailing Address - Fax:501-226-3267
Practice Address - Street 1:180 MEDICAL PARK PL
Practice Address - Street 2:SUITE 202
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-8065
Practice Address - Country:US
Practice Address - Phone:501-625-3334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-09
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-3199207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR149543001Medicaid
AR5M212Medicare PIN