Organization Active NPI

Shelby-Chilton Hematology and Oncology LLC

  • Hematology & Oncology Physician
  • Alabaster, AL
National Provider Identifier
1093018681
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
24965 Issued in AL
Legal business name
SHELBY-CHILTON HEMATOLOGY AND ONCOLOGY LLC
Practice address
644 2ND St NE Ste 202
Alabaster, AL 35007-8823
Phone
(205) 563-3583
Fax
(205) 358-3322
NPI assigned
Dec 21, 2010
Last updated
May 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Balaganesh Gopurala, MD
Title
Owner
Phone
(205) 358-3321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 24965 AL Primary

Addresses

Primary practice location

644 2ND St NE Ste 202
Alabaster, AL 35007-8823

Mailing address

PO Box 113
Pelham, AL 35124-0113
Phone (205) 358-3321

National Provider Directory

National Provider Directory

Locations

644 2nd St NE
Ste 202
Alabaster, AL 35007
Phone (205) 358-3321

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1093018681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 113",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351240113",
            "telephone_number": "205-358-3321",
            "fax_number": "205-358-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 2ND ST NE STE 202",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078823",
            "telephone_number": "205-563-3583",
            "fax_number": "205-358-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY-CHILTON HEMATOLOGY AND ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "GOPURALA",
        "authorized_official_first_name": "BALAGANESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-358-3321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AL",
            "license": "24965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.