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GENESEE CANCER AND BLOOD DISEASE TREATMENT CENTER PC NPI 1912068453


NPI Information

NPI: 1912068453
Provider Name: GENESEE CANCER AND BLOOD DISEASE TREATMENT CENTER PC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 23D0923923

Address:
302 KENSINGTON AVE
FLINT, MI
ZIP 48503
Phone: (810) 762-8400
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GENESEE CANCER AND BLOOD DISEASE TREATMENT CENTER PC is a hematology and oncology internal medicine in Flint, 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. GENESEE CANCER AND BLOOD DISEASE TREATMENT CENTER PC NPI is 1912068453. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

302 KENSINGTON AVE
FLINT, MI
ZIP 48503
Phone: (810) 762-8400
Fax: (810) 762-8116

The provider's authorized official is Rizwan Danish .
The authorized official title is Office President and has the following contact phone number (810) 762-8400.

The CLIA number assigned to this NPI record is 23D0923923 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 5/30/2008.


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 & 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ON97770MEDICARE ID-TYPE UNSPECIFIED
20N97770MEDICARE PIN
3ON77070MEDICARE ID-TYPE UNSPECIFIED

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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