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LYMPHOMA CLINIC OF MICHIGAN NPI 1518141977


NPI Information

NPI: 1518141977
Provider Name: LYMPHOMA CLINIC OF MICHIGAN

Other Name: SJH LYMPHOMA CLINIC

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
19229 MACK AVE
GROSSE POINTE WOODS, MI
ZIP 48236
Phone: (313) 647-3245
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LYMPHOMA CLINIC OF MICHIGAN is a hematology and oncology internal medicine in Grosse Pointe Woods, 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. LYMPHOMA CLINIC OF MICHIGAN NPI is 1518141977. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Sjh Lymphoma Clinic.

The provider's business location address is:

19229 MACK AVE
GROSSE POINTE WOODS, MI
ZIP 48236-858
Phone: (313) 647-3245

The provider's authorized official is Ayad M Al-katib .
The authorized official title is Director and has the following contact phone number (248) 746-5822.

The enumeration date for this NPI number is 12/20/2007 and was last updated on 12/20/2007.


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 & OncologyMICHIGANYes

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
1OP13900MEDICARE PINMICHIGAN

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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