Male or Other

Dr. Anastas C. Provatas MD

Hematology & Oncology Physician in Hibbing, MN(View on Map)

Full Name

Dr. Anastas C Provatas MD

NPI Number

1497740054

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/20/2005

Specialties

(Taxonomies)

Code

207RH0003X

Primary Taxonomy

Yes

Licenses

State

Minnesota
North Carolina

License Number

105335
9500693

Contact
Information

Purpose

Mailing
Location

Address

3605 MAYFAIR AVE
3605 MAYFAIR AVE

City

Hibbing
Hibbing

State

MN
MN

Postal Code

55746-2935
55746-2935

Country

US
US

Telephone Number

(218) 262-3441
(218) 262-3441

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/05/2011

Provider Address

Other Hematology & Oncology Physician in Hibbing, Minnesota:

Female

Aparna Basu M.D.

Hibbing, MN

Specialty: Hematology & Oncology Physician (Primary)