Organization
UNIVERSITY HEMATOLOGY ONCOLOGY 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
#11 CUSUMANO PROFESSIONAL PLAZA, MOUNT VERNON, IL 62864
(618) 532-1891
(618) 532-1892
Mailing address
2325 DOUGHERTY FERRY RD, SUITE 204, SAINT LOUIS, MO 63122-3356
(314) 290-7501
(314) 290-7575
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-043-159
IL
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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