Indiana Cancer Specialists, LLC

NPI #1902346562 in Danville, Indiana

Provider Information

NPI Number: 1902346562
Entity Type: Organization
Organization Name: Indiana Cancer Specialists, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Mar 1, 2017
Last Updated: Mar 1, 2017

Practice Location

Address: 100 HOSPITAL LN
Address 2: SUITE 320
City: Danville
State: Indiana
ZIP Code: 46122-1989
Phone: (317) 745-3752

Authorized Official

Name: SRIDHAR BOLLA, MD
Title: PRESIDENT
Phone: (317) 228-3393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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