Individual provider · Type 1 NPI

Maryann M. Shango, MD

Hematology & Oncology Physician · Grand Rapids, MI

NPI number 1942593876 Active

Practice location

250 Cherry St SE
Grand Rapids, MI 49503-4608

Fax (616) 685-6745

Mailing address

PO Box 776974
Chicago, IL 60677-6974

Other practice locations

  • 27301 Dequindre Rd Ste 314, Madison Heights, MI 48071-3459 · (248) 399-4400
  • 12123 SW 69th Ave, Tigard, OR 97223-8514 · (971) 708-7600

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician 207RH0003XMD60739968 (WA)
Hematology & Oncology Physician Primary 207RH0003X4301098522 (MI)
Hematology & Oncology Physician 207RH0003XMD198359 (OR)
Student in an Organized Health Care Education/Training Program 390200000X4301098522 (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.

24 other providers at this address

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About NPI 1942593876

Maryann M. Shango, MD's National Provider Identifier is 1942593876, issued on May 25, 2011. 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 May 29, 2026.