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HEMATOLOGY-ONCOLOGY CENTER OF MICHIGAN NPI 1609836428


NPI Information

NPI: 1609836428
Provider Name: HEMATOLOGY-ONCOLOGY CENTER OF MICHIGAN
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
23832 SOUTHFIELD RD
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 557-1160
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HEMATOLOGY-ONCOLOGY CENTER OF MICHIGAN is a specialist in Southfield, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HEMATOLOGY-ONCOLOGY CENTER OF MICHIGAN NPI is 1609836428. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

23832 SOUTHFIELD RD
SOUTHFIELD, MI
ZIP 48075-017
Phone: (248) 557-1160
Fax: (248) 552-8289

The provider's authorized official is Ila Shah-reddy .
The authorized official title is M.d. and has the following contact phone number (248) 557-1160.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist207RH0003XMICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14301067586OTHERMICHIGANDR. RAJENDRA MANAN
24301034420OTHERMICHIGANDR. ILA SHAH-REDDY
36047846MEDICAIDMICHIGAN
44501184MEDICAIDMICHIGAN

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: 4/28/2024

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