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Contact Information

MICHIANA HEMATOLOGY ONCOLOGY OF MICHIGAN, P.C.
4 LONGMEADOW DRIVE
SUITE ONE
NILES, MI49120
 Phone: 269-683-4153
 Fax: 269-683-4154
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MICHIANA HEMATOLOGY ONCOLOGY OF MICHIGAN, P.C.

NPI Number 1235134461
LBN Legal business name MICHIANA HEMATOLOGY ONCOLOGY OF MICHIGAN, P.C.
Authorized official RAFAT ANSARI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2005
Last updated 10/13/2009 - About 10 years ago
Identifiers
MI Other 0A11038 MIBCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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