Provider Demographics
NPI:1376075499
Name:HORIZON HEMATOLOGY ONCOLOGY HEALTH ORGANIZATION
Entity type:Organization
Organization Name:HORIZON HEMATOLOGY ONCOLOGY HEALTH ORGANIZATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MUKESH KUMAR
Authorized Official - Middle Name:DEVSHIBHAI
Authorized Official - Last Name:DELVADIYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-668-4809
Mailing Address - Street 1:6404 INTERNATIONAL PKWY
Mailing Address - Street 2:SUITE 1010
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8225
Mailing Address - Country:US
Mailing Address - Phone:972-267-1988
Mailing Address - Fax:972-267-3434
Practice Address - Street 1:6404 INTERNATIONAL PKWY
Practice Address - Street 2:SUITE 1010
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8225
Practice Address - Country:US
Practice Address - Phone:972-267-1988
Practice Address - Fax:972-267-3434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X, 163WX0200X, 1835X0200X, 207RH0000X, 207RH0002X, 207RX0202X, 2085R0001X, 347C00000X, 363AM0700X, 364SM0705X, 364SX0200X, 405300000X
TXP2430207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No163WX0200XNursing Service ProvidersRegistered NurseOncologyGroup - Multi-Specialty
No1835X0200XPharmacy Service ProvidersPharmacistOncologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematologyGroup - Multi-Specialty
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Multi-Specialty
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
No347C00000XTransportation ServicesPrivate VehicleGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-SurgicalGroup - Multi-Specialty
No364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncologyGroup - Multi-Specialty
No405300000XOther Service ProvidersPrevention ProfessionalGroup - Multi-Specialty