Kingman Oncology Institute LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

KINGMAN ONCOLOGY INSTITUTE LLC

Practice address

890 Airway Ave
Kingman, AZ 86409-3588

Phone

(928) 681-1234

NPI assigned

Jun 1, 2023

Last updated

Jun 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shahid Malik, MD

Title

President

Phone

(702) 882-1384

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Margot D Henderson, P.A.-C.

  • Medical Physician Assistant
  • Kingman, AZ
  • NPI 1023092822
  NPD (past)

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1912690272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 AIRWAY AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093588",
            "telephone_number": "928-681-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 AIRWAY AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093588",
            "telephone_number": "928-681-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 Mesquite Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864035889",
            "country_code": "US",
            "telephone_number": "928-855-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINGMAN ONCOLOGY INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-882-1384",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingman Hometown Pharmacy LLC (Kingman Hometown Pharmacy)
• Kingman Hospital Inc
• Kingman Kidney Clinic Inc.
• Kingman Neurology
• Kingman No 1 LLC (Desert Highlands Care Center)
• Kingman Pulmonary Associates, LLC
• Kingman Radiology Associates LLC
• Kingman Senior Living, LLC (White Cliffs Senior Living)
• Kingman Transportation Service, LLC (Kingman Cab Company)
• Kingman Unified School District

• Hematology & Oncology Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Hematology & Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.