Active NPI
Valdosta Blood and Cancer Center
- Hematology & Oncology Physician
- Valdosta, GA
National Provider Identifier
1821250945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 057887
- Legal business name
- VALDOSTA BLOOD AND CANCER CENTER
- Practice address
- 2501 N Patterson St
Pearlman Comprehensive Cancer Center
Valdosta, GA 31602-1735 - Phone
- (229) 259-4616
- NPI assigned
- Jun 30, 2008
- Last updated
- Jun 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nagender Mankan, MD
- Title
- Owner
- Phone
- (229) 259-4616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 057887 | GA | Primary |
Addresses
Primary practice location
2501 N Patterson St
Pearlman Comprehensive Cancer Center
Valdosta, GA 31602-1735
Mailing address
1172 Old Meadow Rd
Valdosta, GA 31605-7938
Phone (229) 232-4449
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1821250945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1172 OLD MEADOW RD",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316057938",
"telephone_number": "229-232-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N PATTERSON ST",
"address_2": "PEARLMAN COMPREHENSIVE CANCER CENTER",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021735",
"telephone_number": "229-259-4616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALDOSTA BLOOD AND CANCER CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-30",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "MANKAN",
"authorized_official_first_name": "NAGENDER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "229-259-4616",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "GA",
"license": "057887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
- Felix G Valdez, MD
- Valdosta Addiction Associates, Inc (Treatment Center of Valdosta)
- Valdosta Advanced Healing Inc
- Valdosta Allergy, Asthma, & Immunology, PC
- Valdosta Anesthesia Associates, P.C.
- Valdosta Center for Cosmetic Dentistry, Inc (North Valdosta Dental Care)
- Valdosta Center for Sleep Apnea Snoring & TMJ LLC
- Valdosta Children's Healthcare Center ,LLC
- Valdosta Chiropractic & Rehab, LLC
- Valdosta City Board of Education
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.