Grenada Hematology Oncology LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

15052 Issued in MS

Legal business name

GRENADA HEMATOLOGY ONCOLOGY LLC

Practice address

1300 Sunset Dr Ste F
Grenada, MS 38901-4083

Phone

(662) 307-7424

NPI assigned

May 12, 2015

Last updated

May 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Furhan Yunus, MD

Title

President

Phone

(662) 307-7424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1710365630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SUNSET DR STE F",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014083",
            "telephone_number": "662-307-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SUNSET DR STE F",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014083",
            "telephone_number": "662-307-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRENADA HEMATOLOGY ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "YUNUS",
        "authorized_official_first_name": "FURHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-307-7424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MS",
            "license": "15052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Grenada Lake Inpatient Medicine Associates
• Grenada Lake Medical Center
• Grenada Lake Medical Center (Grenada Specialty Clinic - Terry Pummer)
• Grenada Lake Medical Center (Grenada Primary Care Clinic)
• Grenada Lake Medical Center

• Hematology & Oncology Physician in Grenada, MS
• Providers in Grenada, MS by specialty
• Hematology & Oncology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.