Organization
UNIVERSITY HEMATOLOGY ONCOLOGY GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAZA M SYED MBA (PRACTICE ADMINISTRATOR)
(314) 290-7501
Entity
Organization
Contact information
Practice address
2210 BARRON RD, SUITE 117, POPLAR BLUFF, MO 63901-1908
(573) 778-9136
(573) 778-9172
Mailing address
4921 PARKVIEW PL, SUITE 14C, SAINT LOUIS, MO 63110-1032
(314) 290-7501
(314) 290-7575
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
R3981
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505740506
—
MO
Enumeration date
09/19/2007
Last updated
08/26/2009
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