OrganizationActive
Michiana Hematology-Oncology P C
NPI 1619970183 · Medical Oncology Physician · Mishawaka, IN
Provider details
- NPI number
- 1619970183
- Entity type
- Organization
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bilal Ansari, Co-Owner(574) 237-1328
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Hematology & Oncology Physician207RH0003X
Allopathic & Osteopathic Physicians
- Gynecologic Oncology Physician207VX0201X
Allopathic & Osteopathic Physicians
- Radiation Oncology Physician2085R0001X
Allopathic & Osteopathic Physicians
- Non-Pharmacy Dispensing Site332900000X
Suppliers
Suppliers
Practice location
5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470
Phone: (574) 237-1328
Fax: (574) 237-1348
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 746092
Atlanta, GA 30374-6092
Registry dates
- Enumerated
- 2005-05-27
- Last updated
- 2023-11-15
- Certified
- 2023-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.