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Contact Information

GRENADA HEMATOLOGY ONCOLOGY LLC
1300 SUNSET DR STE F
GRENADA, MS38901-4083
 Phone: 662-307-7424
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GRENADA HEMATOLOGY ONCOLOGY LLC

NPI # 1710365630
LBN Legal business name GRENADA HEMATOLOGY ONCOLOGY LLC
Authorized official FURHAN YUNUS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2015
Last updated 05/12/2015 - About 11 years ago
Identifiers
MS License # 15052
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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