| Elizabethtown Hematology-oncology Plc | |
|
1107 Woodland Dr Suite 105 Elizabethtown KY 42701-2789 | |
| (270) 769-6665 | |
| (270) 769-0322 |
| Full Name | Elizabethtown Hematology-oncology Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1107 Woodland Dr, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Naweed Beg (OFFICE MANGER) |
| Authorized Official Contact | 2707696665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabethtown Hematology-oncology Plc 1107 Woodland Dr Suite 105 Elizabethtown KY 42701-2789 Ph: (270) 769-6665 | Elizabethtown Hematology-oncology Plc 1107 Woodland Dr Suite 105 Elizabethtown KY 42701-2789 Ph: (270) 769-6665 |
| NPI Number | 1730161688 |
|---|---|
| Provider Enumeration Date | 11/16/2005 |
| Last Update Date | 04/09/2015 |
| Medicare PECOS PAC ID | 4789648536 |
|---|---|
| Medicare Enrollment ID | O20041112000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730161688 | NPI | - | NPPES |
| 65933970 | Medicaid | KY | |
| 1050030 | Other | KY | PASSPORT |
| Provider Name | Yusuf Deshmukh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972585883 PECOS PAC ID: 4789648544 Enrollment ID: I20100415000689 |
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