Polavaram, Latha Sree
Polavaram, Latha Sree is an individual health care provider with primary practice located at 145 Michigan St Ne Ste 3100 , Grand Rapids MI 49503-2563. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Polavaram, Latha Sree can be contacted via phone (616) 954-9800.Contact Information
Primary practice address
145 Michigan St Ne Ste 3100
Grand Rapids MI 49503-2563
Phone: (616) 954-9800
Fax: (616) 954-2116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 4301083922 | Michigan |
Profile Details
| NPI number | 1194934802 |
|---|---|
| LBN Legal business name | Polavaram, Latha Sree |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Mar 17th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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