NPIMap

Organization Active NPI

Medical Oncology Inc

  • Medical Oncology Physician
  • Clarksdale, MS
National Provider Identifier
1629044839
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
MEDICAL ONCOLOGY INC
Practice address
581 Medical Dr
Clarksdale, MS 38614
Phone
(662) 627-7163
Fax
(662) 627-7150
NPI assigned
Feb 27, 2006
Organization subpart
Yes
Parent organization
MEDICAL ONCOLOGY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Mtanius A Sultani
Title
Authorized Official
Phone
(662) 627-7163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RX0202X Primary

Addresses

Primary practice location

581 Medical Dr
Clarksdale, MS 38614

Mailing address

PO Box 1887
Clarksdale, MS 38614
Phone (662) 627-7163

National Provider Directory

National Provider Directory
Tax ID family
Delta Regional Medical Center Ambulance Service9 organizations share this tax ID, including this one
Part of
Medical Oncology Inc

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1629044839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1887",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "38614",
            "telephone_number": "662-627-7163",
            "fax_number": "662-627-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 MEDICAL DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "38614",
            "telephone_number": "662-627-7163",
            "fax_number": "662-627-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ONCOLOGY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL ONCOLOGY INC",
        "enumeration_date": "2006-02-27",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "SULTANI",
        "authorized_official_first_name": "MTANIUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "662-627-7163"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksdale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.