Organization Active NPI

Nova Oncology PLLC

  • Internal Medicine Physician
  • Bloomfield Hills, MI
National Provider Identifier
1134905656
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NOVA ONCOLOGY PLLC
Practice address
43494 Woodward Ave
Bloomfield Hills, MI 48302-5052
Phone
(248) 487-9750
Fax
(248) 504-4207
NPI assigned
Sep 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Raghad Addul-Karim, MD
Title
Owner
Phone
(810) 780-4181

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X

Addresses

Primary practice location

43494 Woodward Ave
Bloomfield Hills, MI 48302-5052

Mailing address

43494 Woodward Ave
Bloomfield Hills, MI 48302-5052

Other names 1

  • NOVA ONCOLOGY PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

43494 Woodward Ave
Ste 201
Bloomfield Hills, MI 48302
Phone (248) 334-3907

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1134905656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43494 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43494 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025052",
            "telephone_number": "248-487-9750",
            "fax_number": "248-504-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA ONCOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "ADDUL-KARIM",
        "authorized_official_first_name": "RAGHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-780-4181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVA ONCOLOGY PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.