Upa Pllc Hematology in Jackson - Pediatric Hematology-oncology
Upa Pllc Hematology - NPI 1083767842
Upa Pllc Hematology is a Pediatric Hematology-oncology in Jackson, Mississippi. Upa Pllc Hematology practices all healthcare services and medical treatments related to Pediatric Hematology-oncology. The NPI Number for Upa Pllc Hematology is 1083767842. The last update date is 2020-08-22.
Upa Pllc Hematology's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6018154249. The mailing address for Upa Pllc Hematology is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Upa Pllc Hematology |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6018154249 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Evans B Owen |
| Credentials | M.D. |
| Telephone Number | 6019845214 |
NPI Number Detail
| NPI Number | 1083767842 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6018154249 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Hematology-oncology |
|---|---|
| Taxonomy | 2080P0207X |
|
Definition: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9014122 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Upa Pllc Hematology by the Centers for Medicare & Medicaid Services?
The Upa Pllc Hematology has been assigned the NPI (National Provider Identifier) 1083767842 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Upa Pllc Hematology located?
The Upa Pllc Hematology is located at 2500 N State St, Jackson, MS 392164500.
What is the Upa Pllc Hematology's specialty and taxonomy code?
The Upa Pllc Hematology's specialty is Pediatric Hematology-oncology, and the corresponding taxonomy code is 2080P0207X.
On what date did the Centers for Medicare & Medicaid Services assign the 1083767842 to Upa Pllc Hematology?
The Centers for Medicare & Medicaid Services assigned the 1083767842 to Upa Pllc Hematology on 2007-01-18.
As of what date were the details pertaining to Upa Pllc Hematology last refreshed?
The information related to the Upa Pllc Hematology, including its address, specialty, and other relevant details, was last updated on 2020-08-22.