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MICHIGAN HEMATOLOGY ONCOLOGY PC NPI 1750601456


NPI Information

NPI: 1750601456
Provider Name: MICHIGAN HEMATOLOGY ONCOLOGY, PC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
5680 BOW POINTE DR
STE 201
CLARKSTON, MI
ZIP 48346
Phone: (248) 620-9600
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MICHIGAN HEMATOLOGY ONCOLOGY, PC is a hematology and oncology internal medicine in Clarkston, 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. MICHIGAN HEMATOLOGY ONCOLOGY, PC NPI is 1750601456. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5680 BOW POINTE DR
STE 201
CLARKSTON, MI
ZIP 48346-407
Phone: (248) 620-9600
Fax: (248) 620-9677

The provider's authorized official is Farid T Fata .
The authorized official title is President and has the following contact phone number (248) 620-9600.

The enumeration date for this NPI number is 6/3/2010 and was last updated on 12/16/2010.


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 & OncologyFF072629MICHIGANYes

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
1G96818MEDICARE UPINMICHIGAN
2104732771MEDICAIDMICHIGAN
36345690001MEDICARE NSCMICHIGAN

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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