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Organization
PREMIER HEMATOLOGY ONCOLOGY CARE INC
Active
Organization
PREMIER HEMATOLOGY ONCOLOGY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVITHA KADAKOL MD (PHYSICIAN PRESIDENT)
(586) 795-4060
Entity
Organization
Contact information
Practice address
8244 METRO PKWY, SUITE A, STERLING HEIGHTS, MI 48312-2778
(586) 795-4060
Mailing address
8244 METRO PKWY, SUITE A, STERLING HEIGHTS, MI 48312-2778
(586) 795-4060
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301091736
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477569176
—
MI
01
—
4301091736
LICENSE
MI
01
—
5315035232
CONTROLLED SUBSTANCE
MI
Enumeration date
04/08/2011
Last updated
04/26/2011
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