Latha Sree Polavaram in Grand Rapids - Hematology & Oncology
Latha Sree Polavaram - NPI 1194934802
Latha Sree Polavaram is a Hematology & Oncology in Grand Rapids, Michigan. Latha Sree Polavaram practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Latha Sree Polavaram is 1194934802. The last update date is 2020-03-17.
Latha Sree Polavaram's current location address is 5800 Foremost Dr Se Ste 300, Grand Rapids, Michigan. You can contact this provider via phone number 6169549800. The mailing address for Latha Sree Polavaram is 5800 Foremost Dr Se Ste 300, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Latha Sree Polavaram |
|---|---|
| Address | 5800 Foremost Dr Se Ste 300, Grand Rapids, Michigan |
| Phone Number | 6169549800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1194934802 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2020-03-17 |
Provider Mailing Address Detail
| Address | 5800 Foremost Dr Se Ste 300 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495467062 |
| Phone Number | 6169549800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Hematology & Oncology |
|---|---|
| Taxonomy | 207Rh0003X |
| Licence No | 4301083922 |
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Definition: 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 ob |
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What is the unique 10-digit identification code assigned to Latha Sree Polavaram by the Centers for Medicare & Medicaid Services?
The Latha Sree Polavaram has been issued the NPI (National Provider Identifier) 1194934802, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Latha Sree Polavaram is physically located?
The Latha Sree Polavaram is situated at the following address: 5800 Foremost Dr Se Ste 300, Grand Rapids, MI 495467062.
What is Latha Sree Polavaram's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Latha Sree Polavaram's specialized field of practice is Hematology & Oncology, and the corresponding taxonomy code that categorizes this area of specialization is 207Rh0003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194934802 to Latha Sree Polavaram?
The Centers for Medicare & Medicaid Services originally issued the 1194934802 to Latha Sree Polavaram on 2007-05-21.
As of what date were the Latha Sree Polavaram's details last updated?
The information pertaining to the Latha Sree Polavaram, including its address, specialty, and other details, was most recently updated on 2020-03-17.