Cancer and Blood Disorders Treatment Center LLC

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• M Ashraf Meelu, MD

  • Hematology & Oncology Physician
  • Waldorf, MD
  • NPI 1255489027

  MD

  Medicare reassignment NPD Authorized official
• Gabriela Amaya, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
  • NPI 1275064222
  NPD
• Reshma Khetpal, MD

  • Hematology & Oncology Physician
  • Hagerstown, MD
  • NPI 1336446020
  NPD (past)

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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MD",
            "license": "D0046246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Waldorf, MD
• Medical Oncology Physician in Maryland

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.