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CANCER CARE CENTER OF SOUTHERN INDIANA, LLC
NPI 1184825242
Specialist in Bloomington, IN

Active since May 29, 2007
514 W 2ND ST, BLOOMINGTON, IN 47403(812) 323-1535(812) 323-0145 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cancer Care Center Of Southern Indiana, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANCER CARE CENTER OF SOUTHERN INDIANA, LLC (NPI 1184825242) is a healthcare organization registered as a specialist in Bloomington, Indiana and active in the NPI registry since May 2007. The organization lists Karuna S Koneru, Owner, as its authorized official.

NPPES Registry Identity

NPI1184825242
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCANCER CARE CENTER OF SOUTHERN INDIANA, LLC
Location Address514 W 2ND STBloomington, IN 47403-2316
Mailing Address514 W 2nd StBloomington, IN 47403-2316 · (812) 323-1535 · Fax (812) 323-0145
Phone(812) 323-1535
Fax(812) 323-0145
Organization SubpartNo
Authorized OfficialKaruna S KoneruOwner · (812) 323-1535
Enumeration DateMay 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1184825242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IN · 01045226
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

514 W 2ND ST, Bloomington, IN 47403
Open in Google Maps ↗

Other Identifiers 1

Other00000031149IN · Bcbs Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT STONE MD
Emergency Medicine (Hospice and Palliative Medicine)
514 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-3719
DEAN EDWARD JONES
Nurse Practitioner (Family)
514 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-3716
KATHERINE A BOECK LCSW
Social Worker (Clinical)
514 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-3719
RAJESH V SHAH M.D.
Internal Medicine (Hematology & Oncology)
514 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 676-4444
DR. IVY M LEE MD
Internal Medicine (Hospice and Palliative Medicine)
514 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-3719
JEFFREY ALAN DEDELOW M.D.
Radiology (Diagnostic Radiology)
514 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-3719
EVERSIDE HEALTH BLOOMINGTON IN
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
514 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 628-2050
KARUNA S KONERU M.D.
Internal Medicine (Hematology & Oncology)
514 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 676-4444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cancer Care Center Of Southern Indiana, LLC's NPI number?

The NPI number for Cancer Care Center Of Southern Indiana, LLC is 1184825242. It was assigned to this organization in the NPPES registry on May 29, 2007.

Where is Cancer Care Center Of Southern Indiana, LLC located?

Cancer Care Center Of Southern Indiana, LLC is located at 514 W 2nd St, Bloomington, IN 47403. The listed phone number is (812) 323-1535.

What is Cancer Care Center Of Southern Indiana, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Cancer Care Center Of Southern Indiana, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.