Active NPI
South Arkansas Hematology & Oncology Clinic PA
- Hematology & Oncology Physician
- Pine Bluff, AR
National Provider Identifier
1093986358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- C8506
- Legal business name
- SOUTH ARKANSAS HEMATOLOGY & ONCOLOGY CLINIC PA
- Practice address
- 1716 Doctor Dr.
Pine Bluff, AR 71603-6367 - Phone
- (870) 534-1188
- Fax
- (870) 534-0188
- NPI assigned
- Mar 14, 2008
- Last updated
- Oct 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammad Bilal Malik
- Title
- President
- Phone
- (870) 534-1188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | C8506 | AR | Primary |
Addresses
Primary practice location
1716 Doctor Dr.
Pine Bluff, AR 71603-6367
Mailing address
1716 Doctor Dr
Pine Bluff, AR 71603-6367
Phone (870) 534-1188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125074001 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
1716 Doctors Dr
Pine Bluff, AR 71603
Phone (870) 534-1188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254873600000",
"number": "1093986358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 DOCTOR DR",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036367",
"telephone_number": "870-534-1188",
"fax_number": "870-534-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 DOCTOR DR.",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036367",
"telephone_number": "870-534-1188",
"fax_number": "870-534-0188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH ARKANSAS HEMATOLOGY & ONCOLOGY CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-14",
"last_updated": "2009-10-07",
"status": "A",
"authorized_official_last_name": "MALIK",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "BILAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-534-1188"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "AR",
"license": "C8506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125074001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
- South Arkansas Cardiology, P.L.L.C.
- South Arkansas Clinic for Women
- South Arkansas Endocrinology
- South Arkansas Gastroenterology Clinic
- South Arkansas Heart & Vascular Associates, P.a.
- South Arkansas Nephrology and Hypertension Clinic
- South Arkansas Orthopaedic Center
- South Arkansas Pathology, PLLC
- South Arkansas Surgical Associates
- South East Arkansas Lab & SCR SVCS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.