GAVINI ONCOLOGY – NPI #1194953307
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

GAVINI ONCOLOGY is a provider located in STATESVILLE, NC. NPPES has assigned the NPI number 1194953307 to GAVINI ONCOLOGY on June 25, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GAVINI ONCOLOGY” is a dba name, the actual legal business name for this organization is IREDELL PHYSICIAN NETWORK LLC. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 16 years ago on May 12, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GAVINI ONCOLOGY below.

NPI Profile for
IREDELL PHYSICIAN NETWORK LLC

NPI Number
1194953307
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IREDELL PHYSICIAN NETWORK LLC
Doing Business As (dba): GAVINI ONCOLOGY
Primary location
365 BROOKDALE DR
STATESVILLE, NC 28677-4103
Phone: (704) 872-3630 Fax: (704) 872-0049
Mailing address
Same as primary location
Organization Subpart
Yes - GAVINI ONCOLOGY is subpart of another organization.
Authorized Official
ANNA PURCELL
DIRECTOR
Phone: (704) 878-4569
Updated
Identifiers

Identifiers for GAVINI ONCOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC5913292
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.