OrganizationActive
Cancer Care Consultants, PC
NPI 1093040719 · Hematology & Oncology Physician · Merrillville, IN
Provider details
- NPI number
- 1093040719
- Entity type
- Organization
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Balagopal Keralavarma, Owner(219) 742-4237
- License
- 01052677A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
8554 Broadway
Merrillville, IN 46410-7032
Phone: (219) 750-9581
Fax: (219) 750-9781
Approximate (ZIP-level) locationGet directions
Mailing address
8554 Broadway
Merrillville, IN 46410-7032
Registry dates
- Enumerated
- 2009-10-14
- Last updated
- 2022-01-13
- Certified
- 2022-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.