Provider Demographics
NPI:1215979588
Name:MAHONING VALLEY HEMATOLOGY ONCOLOGY ASSOC. INC.
Entity type:Organization
Organization Name:MAHONING VALLEY HEMATOLOGY ONCOLOGY ASSOC. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-318-1100
Mailing Address - Street 1:PO BOX 786536
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-6536
Mailing Address - Country:US
Mailing Address - Phone:330-318-1100
Mailing Address - Fax:330-318-1111
Practice Address - Street 1:835 SOUTHWESTERN RUN
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44514-3688
Practice Address - Country:US
Practice Address - Phone:330-318-1100
Practice Address - Fax:330-318-1111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHMA9224231Medicare ID - Type UnspecifiedYOUNGSTOWN OFFICE
OHMA9224233Medicare ID - Type UnspecifiedTRUMBULL OFFICE