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Sai Samyuktha Bandaru
Hematology & Oncology Physician in Southfield, Michigan
NPI 1396364527

Sai Samyuktha Bandaru is a Hematology & Oncology Physician based in Southfield, MI and is specialized in Hematology & Oncology. Sai Samyuktha Bandaru practices in Southfield, MI. The NPI Number for Sai Samyuktha Bandaru is 1396364527 and holds a License No. (Michigan).

The current practice location address for Sai Samyuktha Bandaru is 22301 Foster Winter Drive Providence Cancer Center,, Southfield, MI and can be reached out via phone at 248-849-3541 and via fax at 248-849-2899.

Location: 22301 Foster Winter Drive Providence Cancer Center,, Southfield, MI, 48075-3707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396364527
Provider Name
Sai Samyuktha Bandaru
Credential
Provider Entity Type
Individual
Gender
Female
Address
22301 Foster Winter Drive Providence Cancer Center,, Southfield, MI, 48075-3707
Phone Number
248-849-3541
Fax Number
248-849-2899
Provider Enumeration Date
04/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22301 Foster Winter Drive Providence Cancer Center,
City
Southfield
State
Michigan
Zip
48075-3707
Phone Number
248-849-3541
Fax Number
248-849-2899
person
Provider Business Mailing Address Details
Address
22301 Foster Winter Drive Providence Cancer Center,
City
Southfield
State
Michigan
Zip
48075-3707
Phone Number
248-849-3541
Fax Number
248-849-2899
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
4351050876 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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