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Imran M. Puthawala, MD
Hematology & Oncology Physician in Maywood, Illinois
NPI 1952780637

Imran M. Puthawala is a Hematology & Oncology Physician based in Seattle, IL and is specialized in Hematology & Oncology. Imran M. Puthawala practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Imran M. Puthawala is 1952780637 and holds a License No. MD61283210 (Illinois).

The current practice location address for Imran M. Puthawala is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 708-216-9000. You can also correspond with Imran M. Puthawala through the mailing address at PO BOX 50095, SEATTLE, WA - 98145-5095 (mailing address contact number: 206-520-5700).

Location: 2160 S 1St Ave, Maywood, IL, 98145-5095
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952780637
Provider Name
Imran M. Puthawala
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 98145-5095
Phone Number
708-216-9000
Fax Number
Provider Enumeration Date
05/27/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1952780637 05 WA
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-9000
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
MD61283210 (Washington)
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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