Organization Active NPI

Cancer and Blood Disorders Treatment Center LLC

  • Medical Oncology Physician
  • Waldorf, MD
National Provider Identifier
1104353374
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
D0046246 Issued in MD
Legal business name
CANCER AND BLOOD DISORDERS TREATMENT CENTER LLC
Practice address
3261 Old Washington Rd Ste 1030
Waldorf, MD 20602-3310
Phone
(301) 638-1007
Fax
(301) 638-1009
NPI assigned
May 17, 2017
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
M. Ashraf Meelu, MDNPI 1255489027
Title
Owner
Phone
(301) 638-1007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X D0046246 MD Primary

Addresses

Primary practice location

3261 Old Washington Rd Ste 1030
Waldorf, MD 20602-3310

Mailing address

3261 Old Washington Rd Ste 1030
Waldorf, MD 20602-3310
Phone (301) 638-1007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170713001232 MD Part B Supplier - Clinic/Group Practice 7416226089 Receives reassigned benefits from 1 practitioner
Practice locations: Waldorf, MD

National Provider Directory

National Provider Directory
Tax ID family
Cancer and Blood Disorders Treatment Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3200 Crain Hwy
Ste 302
Waldorf, MD 20603
Phone (301) 638-1007

3261 Old Washington Rd
Ste 1030
Waldorf, MD 20602
Phone (301) 638-1007

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1104353374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 OLD WASHINGTON RD STE 1030",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023310",
            "telephone_number": "301-638-1007",
            "fax_number": "301-638-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 OLD WASHINGTON RD STE 1030",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023310",
            "telephone_number": "301-638-1007",
            "fax_number": "301-638-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER AND BLOOD DISORDERS TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "MEELU",
        "authorized_official_first_name": "M. ASHRAF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-638-1007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MD",
            "license": "D0046246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.