Organization
HEMATOLOGY-ONCOLOGY CENTER OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILA SHAH-REDDY M.D.F.A.C.P. (M.D.)
(248) 557-1160
Entity
Organization
Contact information
Practice address
23832 SOUTHFIELD RD, SOUTHFIELD, MI 48075-8017
(248) 557-1160
(248) 552-8289
Mailing address
23832 SOUTHFIELD RD, SOUTHFIELD, MI 48075-8017
(248) 557-1160
(248) 552-8289
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207RH0003X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301034420
DR. ILA SHAH-REDDY
MI
01
—
4301067586
DR. RAJENDRA MANAN
MI
05
—
4501184
—
MI
05
—
6047846
—
MI
Enumeration date
03/24/2006
Last updated
08/22/2020
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