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Racquel D Innis-shelton, MD
Hematology & Oncology Physician in Birmingham, Alabama
NPI 1356553408

Racquel D Innis-shelton is a Hematology & Oncology Physician based in Birmingham, AL and is specialized in Hematology & Oncology. Racquel D Innis-shelton practices in Birmingham, AL and has the professional credentials of MD. The NPI Number for Racquel D Innis-shelton is 1356553408 and holds a License No. 0116018506 (Alabama).

The current practice location address for Racquel D Innis-shelton is 619 19Th St S, Birmingham, AL and can be reached out via phone at 205-934-4011.

Location: 619 19Th St S, Birmingham, AL, 35255-5310
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Provider Profile Details
NPI Number
1356553408
Provider Name
Racquel D Innis-shelton
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
619 19Th St S, Birmingham, AL, 35255-5310
Phone Number
205-934-4011
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04523704 05 MS
110873 05 AL
051598339 01 AL BLUE CROSS & BLUE SHIELD AL
051598340 01 AL BLUE CROSS & BLUE SHIELD AL
110794 05 AL
051598336 01 AL BLUE CROSS & BLUE SHIELD AL
110861 05 AL
110869 05 AL
051598338 01 AL BLUE CROSS & BLUE SHIELD AL
102I014862 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
619 19Th St S
City
State
Zip
35249-1900
Phone Number
205-934-4011
Fax Number
person
Provider Business Mailing Address Details
Address
619 19Th St S
City
State
Zip
35249-1900
Phone Number
205-934-4011
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
28895 (Alabama)
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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Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
0116018506 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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