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Latha Sree Polavaram, MD
Hematology & Oncology Physician in Grand Rapids, Michigan
NPI 1194934802

Latha Sree Polavaram is a Hematology & Oncology Physician based in Grand Rapids, MI and is specialized in Hematology & Oncology. Latha Sree Polavaram practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Latha Sree Polavaram is 1194934802 and holds a License No. 4301083922 (Michigan).

The current practice location address for Latha Sree Polavaram is 145 Michigan St Ne Ste 3100, Grand Rapids, MI and can be reached out via phone at 616-954-9800 and via fax at 616-954-2116.

Location: 145 Michigan St Ne Ste 3100, Grand Rapids, MI, 49546-7062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194934802
Provider Name
Latha Sree Polavaram
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
145 Michigan St Ne Ste 3100, Grand Rapids, MI, 49546-7062
Phone Number
616-954-9800
Fax Number
616-954-2116
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
145 Michigan St Ne Ste 3100
City
Grand Rapids
State
Michigan
Zip
49503-2563
Phone Number
616-954-9800
Fax Number
616-954-2116
person
Provider Business Mailing Address Details
Address
145 Michigan St Ne Ste 3100
City
Grand Rapids
State
Michigan
Zip
49503-2563
Phone Number
616-954-9800
Fax Number
616-954-2116
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
4301083922 (Michigan)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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