Organization Active NPI

Valdosta Blood and Cancer Center

  • Hematology & Oncology Physician
  • Valdosta, GA
National Provider Identifier
1821250945
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
057887 Issued in GA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.