NPIMap

Organization Active NPI

Hematology-Oncology Center of Michigan

  • Specialist
  • Southfield, MI
National Provider Identifier
1609836428
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
207RH0003X Issued in MI
Legal business name
HEMATOLOGY-ONCOLOGY CENTER OF MICHIGAN
Practice address
23832 Southfield Rd
Southfield, MI 48075-8017
Phone
(248) 557-1160
Fax
(248) 552-8289
NPI assigned
Mar 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ila Shah-Reddy, M.D.F.A.C.P.NPI 1659428191
Title
M.D.
Phone
(248) 557-1160

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
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 207RH0003X MI Primary

Addresses

Primary practice location

23832 Southfield Rd
Southfield, MI 48075-8017

Mailing address

23832 Southfield Rd
Southfield, MI 48075-8017
Phone (248) 557-1160

Other identifiers 4

IdentifierTypeStateIssuer
6047846MedicaidMI
4301067586OtherMIDR. RAJENDRA MANAN
4501184MedicaidMI
4301034420OtherMIDR. ILA SHAH-REDDY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609836428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23832 SOUTHFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480758017",
            "telephone_number": "248-557-1160",
            "fax_number": "248-552-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23832 SOUTHFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480758017",
            "telephone_number": "248-557-1160",
            "fax_number": "248-552-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMATOLOGY-ONCOLOGY CENTER OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH-REDDY",
        "authorized_official_first_name": "ILA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "248-557-1160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.F.A.C.P."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "207RH0003X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6047846",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. RAJENDRA MANAN",
            "identifier": "4301067586",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4501184",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. ILA SHAH-REDDY",
            "identifier": "4301034420",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.