Provider Demographics
NPI:1609182468
Name:SHAUKAT KHANUM MEMORIAL CANCER HOSPITAL AND RESEARCH CENTER
Entity type:Organization
Organization Name:SHAUKAT KHANUM MEMORIAL CANCER HOSPITAL AND RESEARCH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FAISAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SULTAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-594-5100
Mailing Address - Street 1:7A R3, MA JOHAR TOWN
Mailing Address - Street 2:
Mailing Address - City:LAHORE
Mailing Address - State:PUNJAB
Mailing Address - Zip Code:99999
Mailing Address - Country:PK
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7A R3, MA JOHAR TOWN
Practice Address - Street 2:
Practice Address - City:LAHORE
Practice Address - State:PUNJAB
Practice Address - Zip Code:99999
Practice Address - Country:PK
Practice Address - Phone:423-594-5100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA205447284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital