Cancer Center Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CANCER CENTER ASSOCIATES

Practice address

4325 Josey Lane
Suite 301
Carrollton, TX 75010

Phone

(214) 905-1300

Fax

(214) 905-7550

NPI assigned

May 25, 2010

Organization subpart

Yes

Parent organization

CANCER CENTER ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Amanullah Khan, M.D.

Title

President

Phone

(214) 424-3613

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Cancer Center Associates

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cancer Center Associates

  • Specialist
  • McKinney, TX
  • NPI 1295744803
  NPPES parent name

Practitioners 3

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.

• Sam Mathew, PA

  • Physician Assistant
  • Dallas, TX
  • NPI 1619198082
  NPD (past)
• Mohammad Qasim, MD

  • Hematology & Oncology Physician
  • Denton, TX
  • NPI 1609875087
  NPD (past)
• Ratna Sajja, MD

  • Radiation Oncology Physician
  • Conyers, GA
  • NPI 1700864873
  NPD (past)

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1659690097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 N GALLOWAY AVE",
            "address_2": "304",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506306",
            "telephone_number": "214-424-3613",
            "fax_number": "214-905-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 JOSEY LANE",
            "address_2": "SUITE 301",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "214-905-1300",
            "fax_number": "214-905-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CENTER ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANCER CENTER ASSOCIATES",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AMANULLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-424-3613",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083503501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Driver Calvin
• Henry A Campbell, DDS,PA
• Trella Kay Campbell, OTR
• Caitlyn Canadi, BCBA
• Andrea Canales
• Canopusmd, PLLC
• Melissa Elizabeth Canter, PA
• Katie Jeanne Cantero, PSYD
• Cantex Health Care Centers LLC
• Kimberley Ann Capua, DDS

• Specialist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.