Michiana Hematology-oncology P C
Hematology & Oncology
1915 Lake Ave, Plymouth
Indiana, 46563-9366
574-936-2585 574-936-3887
Michiana Hematology-oncology P C is a Hematology & Oncology in Plymouth, Indiana. It is located at 1915 Lake Ave, Plymouth and it's customer support contact number is 574-936-2585. The authorized person of Michiana Hematology-oncology P C is Rafat H Ansari, M.D. who is President of this DME and his contact number is 574-234-5123.
Michiana Hematology-oncology P C is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
DME Supplier Details:
Michiana Hematology-oncology P C type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Michiana Hematology-oncology P C |
| Type: | Hematology & Oncology |
| Location: | 1915 Lake Ave, Plymouth,
Indiana, 46563-9366 |
| Phone: | 574-936-2585 |
| Fax: | 574-936-3887 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Rafat H Ansari |
| Credentials: | M.D. |
| Position: | President |
| Contact Number: | 574-234-5123 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1487793873 |
| NPI Enumeration Date: | 05 Feb, 2007 |
| NPI Last Update On: | 03 Jul, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michiana Hematology-oncology P C are as mentioned below.
| Specialization | License Number | State | Status | |
| Hematology & Oncology | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100389430 | Medicaid | Indiana | |
| 1176700001 | Other | Indiana | Nsc |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3975 William Richardson Dr,
South Bend, Indiana |
| Zip: | 46628-9800 |
| Phone Number: | 574-234-5123 |
| Fax Number: | 574-968-8488 |
Patients can reach Michiana Hematology-oncology P C at
1915 Lake Ave, Plymouth, Indiana or can
call on customer care at 574-936-2585.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.