Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Latha Sree Polavaram, MD

Individual provider Hematology & Oncology Physician · NPI 1194934802

Latha Sree Polavaram, MD is a Hematology/Oncology in Grand Rapids, Michigan. Qualified in 1999, 27 years ago. Practices with Cancer and Hematology Centers of Western Mi, PC, a 109-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
27
Licensed in
MI
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

145 Michigan St NE Ste 3100
Grand Rapids, MI 49503-2563
Phone: (616) 954-9800
Fax: (616) 954-2116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 4301083922 (MI)

Record details

NPI number1194934802
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESMarch 17, 2020
Certification dateMarch 17, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Cancer And Hematology Centers Of Western Mi, P.C. — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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