Provider Demographics
NPI:1457403644
Name:FREDERICK ONCOLOGY HEMATOLOGY ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:FREDERICK ONCOLOGY HEMATOLOGY ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:A ZAKARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEGAZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-695-6777
Mailing Address - Street 1:46 THOMAS JOHNSON DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4300
Mailing Address - Country:US
Mailing Address - Phone:301-695-6777
Mailing Address - Fax:
Practice Address - Street 1:46 BTHOMAS JOHNSON DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4300
Practice Address - Country:US
Practice Address - Phone:301-695-6777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD218702700Medicaid
VA010068746Medicaid
SCQPB988Medicaid
WV0081294000Medicaid
MD1457403644OtherNPI
MD0196OtherCAREFIRST FEDERAL /NASCO
TN4046819Medicaid
MDCI1463OtherR.R MEDICARE
MDKF89FROtherCAREFIRST MARYLANF
WV9294621Medicare PIN
SCQPB988Medicaid