NACOGDOCHES HEMATOLOGY-ONCOLOGY CLINIC PA – Hematology & Oncology Physician, NPI 1588679047

NACOGDOCHES HEMATOLOGY-ONCOLOGY CLINIC PA is a healthcare provider. based in Nacogdoches, Texas. specializing in Hematology & Oncology Physician. The organization holds a License No. K4204 (TX). The NPI Number for NACOGDOCHES HEMATOLOGY-ONCOLOGY CLINIC PA is 1588679047

Main info

Organization
Name
NACOGDOCHES HEMATOLOGY-ONCOLOGY CLINIC PA
NPI
1588679047
Phone
(936) 559-5330
Address
1225 N MOUND ST
Authorized Official
DYANESH BAPU G RAVINDRAN PRESIDENT M.D
Enumeration Date
30 July 2006
Last Update Date
30 July 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for NACOGDOCHES HEMATOLOGY-ONCOLOGY CLINIC PA

  • 1225, North Mound Street, Nacogdoches, Nacogdoches County, Texas, 75961, United States

    NACOGDOCHES, TX 759614028

    Phone: (936) 559-5330

    Fax: (936) 559-7140

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75961)

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Reviews

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Frequently asked questions

What number should I use to identify NACOGDOCHES HEMATOLOGY-ONCOLOGY CLINIC PA for billing?
Administrative and clinical systems typically use NPI 1588679047 for NACOGDOCHES HEMATOLOGY-ONCOLOGY CLINIC PA.
Should I treat NACOGDOCHES HEMATOLOGY-ONCOLOGY CLINIC PA as an active provider?
Patients and plans typically see NACOGDOCHES HEMATOLOGY-ONCOLOGY CLINIC PA as active in the national extract.
What type of care does NACOGDOCHES HEMATOLOGY-ONCOLOGY CLINIC PA provide?
NACOGDOCHES HEMATOLOGY-ONCOLOGY CLINIC PA's profile centers on Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to NACOGDOCHES HEMATOLOGY-ONCOLOGY CLINIC PA?
NACOGDOCHES HEMATOLOGY-ONCOLOGY CLINIC PA shows a connection to Nacogdoches, Texas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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