Active NPI
Seraphim Pallas, MD PLLC
- Hematology & Oncology Physician
- Bloomfield Hills, MI
National Provider Identifier
1295905289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- SP063211
- Legal business name
- SERAPHIM PALLAS, MD PLLC
- Practice address
- 1900 S Telegraph Rd
Suite 201
Bloomfield Hills, MI 48302-0238 - Phone
- (248) 332-8888
- Fax
- (248) 332-9460
- NPI assigned
- Mar 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Seraphim Pallas, MD
- Title
- Owner
- Phone
- (248) 332-8888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | SP063211 | MI | Primary |
Addresses
Primary practice location
1900 S Telegraph Rd
Suite 201
Bloomfield Hills, MI 48302-0238
Mailing address
18894 Valencia St
Northville, MI 48168-1823
Phone (248) 332-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0N90380 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
1900 S Telegraph Rd
#S201
Bloomfield, MI 48302
Phone (248) 332-8888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Clarkston, MI
- NPI 1518930676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204675200000",
"number": "1295905289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18894 VALENCIA ST",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481681823",
"telephone_number": "248-332-8888",
"fax_number": "248-332-9460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 S TELEGRAPH RD",
"address_2": "SUITE 201",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483020238",
"telephone_number": "248-332-8888",
"fax_number": "248-332-9460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERAPHIM PALLAS, MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-05",
"last_updated": "2008-03-05",
"status": "A",
"authorized_official_last_name": "PALLAS",
"authorized_official_first_name": "SERAPHIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-332-8888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MI",
"license": "SP063211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0N90380",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.