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PREMIER HEMATOLOGY ONCOLOGY CARE INC NPI 1205126430


NPI Information

NPI: 1205126430
Provider Name: PREMIER HEMATOLOGY ONCOLOGY CARE INC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
8244 METRO PKWY
SUITE A
STERLING HEIGHTS, MI
ZIP 48312
Phone: (586) 795-4060
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PREMIER HEMATOLOGY ONCOLOGY CARE INC is a hematology and oncology internal medicine in Sterling Heights, MI. The provider is 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. PREMIER HEMATOLOGY ONCOLOGY CARE INC NPI is 1205126430. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8244 METRO PKWY
SUITE A
STERLING HEIGHTS, MI
ZIP 48312-778
Phone: (586) 795-4060

The provider's authorized official is Savitha Kadakol .
The authorized official title is Physician President and has the following contact phone number (586) 795-4060.

The enumeration date for this NPI number is 4/8/2011 and was last updated on 4/26/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & Oncology4301091736MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERMICHIGANTAX ID
21477569176MEDICAIDMICHIGAN
34301091736OTHERMICHIGANLICENSE
45315035232OTHERMICHIGANCONTROLLED SUBSTANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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