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Provider Information for 1760023865

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AVAM CANCER & BLOOD SPECIALISTS, LLC

Organization Subpart: NO

Organization NPI: 1760023865

Calendar   Last Updated:  2021-03-20
  Certification Date:  2021-03-20

Details

Name Value
NPI 1760023865
Enumeration Date 2019-10-01
NPI Type 2- Organization
Status Active
Authorized Official Information Name: ARJUN SOOD
Title: PRESIDENT
Phone: 703-574-0708
Mailing Address 3543 W BRADDOCK RD STE 400E
ALEXANDRIA, VA 22302-1900
United States

Phone: 703-574-0708 | Fax: 703-574-0709
View Map External Link
Primary Practice Address 3541 W BRADDOCK RD STE 150
ALEXANDRIA, VA 22302-1923
United States

Phone: 703-574-0708 | Fax: 703-574-0709
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 193400000X SINGLE SPECIALTY GROUP
207RH0003X - Internal Medicine Hematology & Oncology
No 193200000X MULTI-SPECIALTY GROUP
207RH0000X - Internal Medicine Hematology
No 193200000X MULTI-SPECIALTY GROUP
207RX0202X - Internal Medicine Medical Oncology