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GRENADA HEMATOLOGY ONCOLOGY LLC NPI 1710365630


NPI Information

NPI: 1710365630
Provider Name: GRENADA HEMATOLOGY ONCOLOGY LLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1300 SUNSET DR STE F
GRENADA, MS
ZIP 38901
Phone: (662) 307-7424
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GRENADA HEMATOLOGY ONCOLOGY LLC is a hematology and oncology internal medicine in Grenada, MS. 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. GRENADA HEMATOLOGY ONCOLOGY LLC NPI is 1710365630. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1300 SUNSET DR STE F
GRENADA, MS
ZIP 38901-083
Phone: (662) 307-7424

The provider's authorized official is Furhan Yunus .
The authorized official title is President and has the following contact phone number (662) 307-7424.

The enumeration date for this NPI number is 5/12/2015 and was last updated on 5/12/2015.


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
1207RH0003XInternal MedicineHematology & Oncology15052MISSISSIPPIYes

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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