Prostate Cancer Institute of America LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

PROSTATE CANCER INSTITUTE OF AMERICA LLC

Practice address

1445 W Chandler Blvd Ste A5
Chandler, AZ 85224-6130

Phone

(480) 360-4009

NPI assigned

Oct 14, 2024

Last updated

Oct 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ajay Bhatnagar, MD

Title

Owner/Physician

Phone

(480) 360-4009

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1275353385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 W CHANDLER BLVD STE A5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246130",
            "telephone_number": "480-360-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 W CHANDLER BLVD STE A5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246130",
            "telephone_number": "480-360-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTATE CANCER INSTITUTE OF AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "BHATNAGAR",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "480-360-4009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiation Oncology Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Radiation Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.