Organization Active NPI

Seraphim Pallas, MD PLLC

  • Hematology & Oncology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1295905289
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
SP063211 Issued in MI
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

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Dr. Seraphim Pallas, MDNPI 1518930676
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)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0N90380MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.