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Organization
SHELBY-CHILTON HEMATOLOGY AND ONCOLOGY LLC
Active
Organization
SHELBY-CHILTON HEMATOLOGY AND ONCOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BALAGANESH GOPURALA MD (OWNER)
(205) 358-3321
Entity
Organization
Contact information
Practice address
644 2ND ST NE STE 202, ALABASTER, AL 35007-8823
(205) 563-3583
(205) 358-3322
Mailing address
PO BOX 113, PELHAM, AL 35124-0113
(205) 358-3321
(205) 358-3322
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
24965
AL
Other
Enumeration date
12/21/2010
Last updated
05/06/2014
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