MEDICARE: DR. HIKMET H SIPAHI II MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	HS402829	MI
2	174400000X	Specialist	4301402829	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0611077	OTHER	MI	BCBS OF MICHIGAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	110D148530	OTHER	MI	BCBSM PIN

General Provider Information

NPI Number	:	1396740825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HIKMET H SIPAHI II MD

Provider Business Mailing Address
First Line	:	1440 E SHERMAN BLVD
Second Line	:	SUITE 200
City	:	MUSKEGON
State	:	MI
Zip	:	49444-1816
Country	:	US
Telephone Number	:	231-737-3469
Fax Number	:	231-737-4548

Provider Business Practice Location Address
First Line	:	1440 E SHERMAN BLVD
Second Line	:	SUITE 200
City	:	MUSKEGON
State	:	MI
Zip	:	49444-1816
Country	:	US
Telephone Number	:	231-737-3469
Fax Number	:	231-737-4548

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	04/23/2012

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