BLOOD & CANCER CLINIC, P.A.
NPI 1437209632
Internal Medicine - Hematology & Oncology in Fayetteville, NC

Active since January 11, 2007
1565 PURDUE DR, SUITE 301, FAYETTEVILLE, NC 28303(910) 483-8586(910) 483-9212 Get Directions Write a Review

NPPES record last updated: June 20, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blood & Cancer Clinic, P.a. NPPES

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

BLOOD & CANCER CLINIC, P.A. (NPI 1437209632) is a healthcare organization registered as a hematology & oncology in Fayetteville, North Carolina and active in the NPI registry since January 2007. The organization lists Shirish D Devasthali, President, as its authorized official.

NPPES Registry Identity

NPI1437209632
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameBLOOD & CANCER CLINIC, P.A.
Location Address1565 PURDUE DR, SUITE 301Fayetteville, NC 28303-5536
Mailing AddressPo Box 53095Fayetteville, NC 28305-3095 · (910) 483-8586 · Fax (910) 483-9212
Fax(910) 483-9212
Organization SubpartNo
Authorized OfficialShirish D DevasthaliPresident · (910) 483-8586
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJune 20, 2013
NPI 1437209632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in NC · 38929 Licensed in NC · 200401286
Definition
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.
1565 PURDUE DR, Fayetteville, NC 28303

Other Identifiers 3

Medicare PIN2344713NC
Other011G3NC · Bcbsnc
Medicaid89011G3NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Surgery
1565 PURDUE DR, ST 201A
FAYETTEVILLE, NC 28303
Physician Assistant (Medical)
1565 PURDUE DR, SUITE 301
FAYETTEVILLE, NC 28303
Physical Therapist
1565 PURDUE DR, 101A
FAYETTEVILLE, NC 28303

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 Blood & Cancer Clinic, P.A.'s NPI number?

The NPI number for Blood & Cancer Clinic, P.A. is 1437209632. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Blood & Cancer Clinic, P.A. located?

Blood & Cancer Clinic, P.A. is located at 1565 Purdue Dr Suite 301, Fayetteville, NC 28303. The listed phone number is (910) 483-8586.

What is Blood & Cancer Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Blood & Cancer Clinic, P.A. was last updated on June 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.