Active NPI
Hassan H Ghazal MD
Doing business as Kentucky Cancer Clinic
- Specialist
- Hazard, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 33691
- Legal business name
- HASSAN H GHAZAL MD
- Doing business as
- Kentucky Cancer Clinic
- Practice address
- 200 Medical Center Dr Ste 3O
Professional Office Building
Hazard, KY 41701-9478 - Phone
- (606) 439-2239
- Fax
- (606) 439-3096
- NPI assigned
- Jun 19, 2007
- 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
- Dr. Hassan H Ghazal, M.D.
- Title
- Hematologist/Oncologist
- Phone
- (606) 439-2239
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 33691 | KY | Primary |
Addresses
Primary practice location
200 Medical Center Dr Ste 3O
Professional Office Building
Hazard, KY 41701-9478
Mailing address
200 Medical Center Dr
Suite 3-0
Hazard, KY 41701-9466
Phone (606) 439-2239
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64336910 | Medicaid | KY | |
| 65938136 | Medicaid | KY |
Other names 1
- Kentucky Cancer Clinic
National Provider Directory
National Provider DirectoryLocations
200 Medical Center Dr
Ste 30
Hazard, KY 41701
200 Medical Center Dr
Ste 3D
Hazard, KY 41701
Phone (606) 439-2239
Practitioners & affiliated clinicians
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.
-
- Hematology & Oncology Physician
- Hazard, KY
- NPI 1972682219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347235200000",
"number": "1972708972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MEDICAL CENTER DR",
"address_2": "SUITE 3-0",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019466",
"telephone_number": "606-439-2239",
"fax_number": "606-439-3096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL CENTER DR STE 3O",
"address_2": "PROFESSIONAL OFFICE BUILDING",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019478",
"telephone_number": "606-439-2239",
"fax_number": "606-439-3096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HASSAN H GHAZAL MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-19",
"last_updated": "2012-09-10",
"status": "A",
"authorized_official_last_name": "GHAZAL",
"authorized_official_first_name": "HASSAN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "HEMATOLOGIST/ONCOLOGIST",
"authorized_official_telephone_number": "606-439-2239",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "KY",
"license": "33691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64336910",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65938136",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kentucky Cancer Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.