EVANSVILLE MULTI-SPECIALTY CLINIC, PC
NPI 1790730612
Internal Medicine - Medical Oncology in Evansville, IN

Q: What is Evansville Multi-Specialty Clinic, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Active since May 23, 2006CLIA 15D1053278 · Waiver

6140 E COLUMBIA ST, EVANSVILLE, IN 47715(812) 475-1948(812) 401-5777 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2021, Sep 16, 2019 (2 updates tracked since 2019).

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About Evansville Multi-specialty Clinic, Pc NPPES

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

EVANSVILLE MULTI-SPECIALTY CLINIC, PC (NPI 1790730612) is a healthcare organization registered as a medical oncology in Evansville, Indiana and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Lotfi Hadad, Owner, as its authorized official.

NPPES Registry Identity

NPI1790730612

Entity TypeOrganization

Primary Taxonomy207RX0202X

Legal Business NameEVANSVILLE MULTI-SPECIALTY CLINIC, PC

Location Address6140 E COLUMBIA STEvansville, IN 47715-9133

Mailing AddressPo Box 5646Evansville, IN 47716-5646 · (812) 475-1948 · Fax (812) 401-5777

Phone(812) 475-1948

Fax(812) 401-5777

Organization SubpartYes

Authorized OfficialLotfi HadadOwner · (812) 475-1948

Enumeration DateMay 23, 2006

Last NPPES UpdateFebruary 1, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2024

✔ NPI 1790730612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

6140 E COLUMBIA ST, Evansville, IN 47715

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Other Identifiers 2

Medicaid200806260AIN

Other000000391682IN · Blue Cross

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D1053278

Evansville Multi-Specialty Clinic PC · Evansville, IN

Active · expires Jun 28, 2027

CLIA Number15D1053278

Laboratory TypeHospital

Certificate Effective DateJune 29, 2025

Certificate Expiration DateJune 28, 2027

Laboratory DirectorDr. Lotfi Hadad

Laboratory Phone(812) 475-1948

Laboratory LocationEvansville Multi-Specialty Clinic PC6140 E Columbia St, Evansville, IN 47715

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DENNIS C MYERS NP-C, AAHIVS

Nurse Practitioner