Individual provider · Type 1 NPI

Anastas C. Provatas, MD

Hematology & Oncology Physician · Alexandria, MN

NPI number 1497740054 Active

Practice location

111 17th Ave E
Alexandria, MN 56308-5273

Call (320) 763-2707 Map

Fax (320) 763-7883

Mailing address

610 30th Ave W
Alexandria, MN 56308-3426

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X105335 (MN)
Hematology & Oncology Physician 207RH0003X9500693 (NC)

Hematology & Oncology Physician: 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.

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About NPI 1497740054

Anastas C. Provatas, MD's National Provider Identifier is 1497740054, issued on Sep 20, 2005. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Alexandria, MN. The record was last updated on Oct 23, 2025.