Provider Demographics
NPI:1417791583
Name:SP CANCER CARE PLLC
Entity type:Organization
Organization Name:SP CANCER CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SAURABH
Authorized Official - Middle Name:VISHNUKUMAR
Authorized Official - Last Name:PARASRAMKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-294-2798
Mailing Address - Street 1:2118 PALOMAR TRACE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1120
Mailing Address - Country:US
Mailing Address - Phone:201-294-2798
Mailing Address - Fax:502-747-7055
Practice Address - Street 1:101 MEDICAL HEIGHTS DR STE M
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4137
Practice Address - Country:US
Practice Address - Phone:201-294-2798
Practice Address - Fax:502-747-7055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty