Individual provider · Type 1 NPI

Latha Sree Polavaram, MD

Hematology & Oncology Physician · Grand Rapids, MI

NPI number 1194934802 Active

Practice location

145 Michigan St NE Ste 3100
Grand Rapids, MI 49503-2563

Call (616) 954-9800 Map

Fax (616) 954-2116

Mailing address

5800 Foremost Dr SE Ste 300
Grand Rapids, MI 49546-7062

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X4301083922 (MI)

Hematology & Oncology Physician: 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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About NPI 1194934802

Latha Sree Polavaram, MD's National Provider Identifier is 1194934802, issued on May 21, 2007. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 17, 2020.