REGIONAL HEMATOLOGY AND ONCOLOGY P A

Provider Demographics

• NPI: 1811947054
• Name: REGIONAL HEMATOLOGY AND ONCOLOGY P A
• Entity type: Organization
• Organization Name: REGIONAL HEMATOLOGY AND ONCOLOGY P A
• Authorized Official - Title/Position: PRESIDENT
• Authorized Official - First Name: JAMIL
• Authorized Official - Last Name: KHATRI
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 302-731-7782
• Mailing Address - Street 1: 4701 OGLETOWN STANTON RD
• Mailing Address - Street 2: SUITE 2400
• Mailing Address - City: NEWARK
• Mailing Address - State: DE
• Mailing Address - Zip Code: 19713-2055
• Mailing Address - Country: US
• Mailing Address - Phone: 302-731-7782
• Mailing Address - Fax: 302-738-5917
• Practice Address - Street 1: 4701 OGLETOWN STANTON RD
• Practice Address - Street 2: SUITE 2400
• Practice Address - City: NEWARK
• Practice Address - State: DE
• Practice Address - Zip Code: 19713-2055
• Practice Address - Country: US
• Practice Address - Phone: 302-731-7782
• Practice Address - Fax: 302-738-5917
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-10
• Last Update Date: 2014-10-16

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207RH0003X	Allopathic & Osteopathic Physicians	Internal Medicine	Hematology & Oncology	Group - Single Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
PA	0014680590008	Medicaid
MD	432121905	Medicaid
DE	0000146902	Medicaid
MD	006M683E	Medicare PIN
DE	CD5759	Medicare PIN
MD	006MO120	Medicare PIN
MD	006MQ454	Medicare PIN
	G11801	Medicare UPIN
DE	0000146902	Medicaid
DE	4675530001	Medicare NSC
DE	019557O71	Medicare PIN
DE	124295O71	Medicare PIN
MD	1811947054	Medicare PIN
DE	130471	Medicare PIN
PA	0014680590008	Medicaid
PA	056108	Medicare PIN
MD	006M682E	Medicare PIN
MD	CD5759	Medicare PIN
MD	DB5768	Medicare PIN
MD	006M	Medicare PIN
	B41556	Medicare UPIN
	E71725	Medicare UPIN
MD	432121905	Medicaid
DE	423064O71	Medicare PIN
DE	004276O71	Medicare PIN
DE	006931O71	Medicare PIN
MD	006M684E	Medicare PIN