Provider Demographics
NPI:1679911796
Name:VICTORIA HEMATOLOGY & ONCOLOGY ASSOCIATES PA
Entity type:Organization
Organization Name:VICTORIA HEMATOLOGY & ONCOLOGY ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FARIBORZ
Authorized Official - Middle Name:
Authorized Official - Last Name:GOROUHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-898-6800
Mailing Address - Street 1:2705 HOSPITAL DR
Mailing Address - Street 2:SUITE 401
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5775
Mailing Address - Country:US
Mailing Address - Phone:361-582-7949
Mailing Address - Fax:361-582-7945
Practice Address - Street 1:2705 HOSPITAL DR
Practice Address - Street 2:SUITE 401
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5775
Practice Address - Country:US
Practice Address - Phone:361-582-7949
Practice Address - Fax:361-582-7945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-11
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty