Provider Demographics
NPI:1447579644
Name:ALABAMA CANCER CARE, LLC
Entity type:Organization
Organization Name:ALABAMA CANCER CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASHVINI
Authorized Official - Middle Name:
Authorized Official - Last Name:SENGAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-547-0536
Mailing Address - Street 1:509 ENERGY CENTER BLVD STE 804
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-2798
Mailing Address - Country:US
Mailing Address - Phone:205-345-7892
Mailing Address - Fax:
Practice Address - Street 1:402 SOUTH 1ST STREET
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5202
Practice Address - Country:US
Practice Address - Phone:256-547-0536
Practice Address - Fax:256-547-8703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-27
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.30196207RH0003X
261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H55725Medicare UPIN