NPIMap

Organization Active NPI

Cancer and Blood Disease Center

  • Hematology & Oncology Physician
  • Richmond, IN
National Provider Identifier
1396736435
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
50003335 Issued in IN
Legal business name
CANCER AND BLOOD DISEASE CENTER
Practice address
1401 Chester Blvd
Suite C
Richmond, IN 47374-1908
Phone
(765) 983-3245
Fax
(765) 983-3247
NPI assigned
Oct 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bharat L. Agrawal, M.D.NPI 1568418358
Title
President
Phone
(765) 983-3245

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
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 50003335 IN Primary

Addresses

Primary practice location

1401 Chester Blvd
Suite C
Richmond, IN 47374-1908

Mailing address

1401 Chester Blvd
Suite C
Richmond, IN 47374-1908
Phone (765) 983-3245

Other identifiers 1

IdentifierTypeStateIssuer
0845152MedicaidOH

National Provider Directory

National Provider Directory

Locations

1401 Chester Blvd
Ste C
Richmond, IN 47374
Phone (317) 983-3246

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396736435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CHESTER BLVD",
            "address_2": "SUITE C",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741908",
            "telephone_number": "765-983-3245",
            "fax_number": "765-983-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CHESTER BLVD",
            "address_2": "SUITE C",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741908",
            "telephone_number": "765-983-3245",
            "fax_number": "765-983-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER AND BLOOD DISEASE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-983-3245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "50003335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0845152",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.