IndividualActive
Abraham Kisule
NPI 1790422665 · Hematology & Oncology Physician · Southfield, MI
Provider details
- NPI number
- 1790422665
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 5101028467 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
22301 Foster Winter Dr
Southfield, MI 48075-3707
Phone: (248) 849-3541
Approximate (ZIP-level) locationGet directions
Mailing address
22301 Foster Winter Dr
Southfield, MI 48075-3707
Registry dates
- Enumerated
- 2022-05-12
- Last updated
- 2025-06-29
- Certified
- 2025-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.