| Nova Oncology Pllc | |
|
43494 Woodward Ave Bloomfield Hills MI 48302-5052 | |
| (248) 487-9750 | |
| (248) 504-4207 |
| Full Name | Nova Oncology Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 43494 Woodward Ave, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Raghad Addul-karim (OWNER) |
| Authorized Official Contact | 8107804181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Oncology Pllc 43494 Woodward Ave Bloomfield Hills MI 48302-5052 Ph: () - | Nova Oncology Pllc 43494 Woodward Ave Bloomfield Hills MI 48302-5052 Ph: (248) 487-9750 |
| NPI Number | 1134905656 |
|---|---|
| Provider Enumeration Date | 09/01/2023 |
| Last Update Date | 09/01/2023 |
| Medicare PECOS PAC ID | 0042674772 |
|---|---|
| Medicare Enrollment ID | O20230914001096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134905656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | (* (Not Available)) | Secondary |
| Provider Name | Raghad Muhsin Abdul-karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114207172 PECOS PAC ID: 0749452431 Enrollment ID: I20210507002175 |
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