Organization Active NPI

South Arkansas Hematology & Oncology Clinic PA

  • Hematology & Oncology Physician
  • Pine Bluff, AR
National Provider Identifier
1093986358
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
C8506 Issued in AR
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
125074001MedicaidAR

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.