Michiana Hematology Oncology of Michigan, P.c.

NPI #1235134461 in Niles, Michigan

Provider Information

NPI Number
1235134461
Entity Type
Organization
Organization Name
Michiana Hematology Oncology of Michigan, P.c.
Primary Specialty
Internal Medicine - Hematology & Oncology
Enumeration Date
Jun 15, 2005
Last Updated
Oct 13, 2009

Practice Location

Address
4 LONGMEADOW DRIVE
Address 2
SUITE ONE
City
Niles
ZIP Code
49120
Phone
(269) 683-4153

Authorized Official

Name
RAFAT H ANSARI, M.D.
Title
PRESIDENT
Phone
(574) 234-5123

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology - Gynecologic OncologyGynecologic Oncology
Durable Medical Equipment & Medical Supplies
Internal Medicine - Hematology & OncologyHematology & Oncology

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