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Dr. Ivan Jose Bustillo Chams, MD
Hematology & Oncology Physician in Grand Forks, North Dakota
NPI 1457501827

Ivan Jose Bustillo Chams is a Hematology & Oncology Physician based in Grand Forks, ND and is specialized in Hematology & Oncology. Ivan Jose Bustillo Chams practices in Grand Forks, ND and has the professional credentials of MD. The NPI Number for Ivan Jose Bustillo Chams is 1457501827 and holds a License No. (North Dakota).

The current practice location address for Ivan Jose Bustillo Chams is 1000 South Columbia Road, Grand Forks, ND and can be reached out via phone at 701-780-5000 and via fax at 203-789-5184. You can also correspond with Ivan Jose Bustillo Chams through the mailing address at PO BOX 6002, GRAND FORKS, ND - 58206-6002 (mailing address contact number: 701-780-5000).

Location: 1000 South Columbia Road, Grand Forks, ND, 58206-6002
person
Provider Profile Details
NPI Number
1457501827
Provider Name
Ivan Jose Bustillo Chams
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1000 South Columbia Road, Grand Forks, ND, 58206-6002
Phone Number
701-780-5000
Fax Number
203-789-5184
Provider Enumeration Date
09/23/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 South Columbia Road
City
State
Zip
58206-6002
Phone Number
701-780-5000
Fax Number
203-789-5184
person
Provider Business Mailing Address Details
Address
1000 South Columbia Road
City
State
Zip
58206-6002
Phone Number
701-780-5000
Fax Number
203-789-5184
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
PT12924 (North Dakota)
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
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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