Michiana Hematology Oncology Of Michigan, P.C.

LBN: Michiana Hematology Oncology Of Michigan, P.C.
Michiana Hematology Oncology Of Michigan, P.C. is an health care organization with primary practice located at 4 Longmeadow Drive Suite One, Niles MI 49120. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Gynecologic Oncology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty. Michiana Hematology Oncology Of Michigan, P.C. can be contacted via phone (269) 683-4153, or through Ansari, Rafat H via phone (574) 234-5123.

Contact Information

Primary practice address
4 Longmeadow Drive Suite One Niles MI 49120
Phone: (269) 683-4153
Fax: (269) 683-4154
Website:
Map and Directions
Authorized official contact:
Name: Ansari, Rafat H Doctor of Medicine (MD)
Phone: (574) 234-5123

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1235134461
LBN Legal business name Michiana Hematology Oncology Of Michigan, P.C.
DBA Doing business as
Authorized official Ansari, Rafat H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2005
Last updated Oct 13th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235134461 NPPES
Michigan Other 0A11038 MIBCBS

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