Creekside Internal Medicine in Grand Rapids - Internal Medicine
Creekside Internal Medicine - NPI 1235284076
Creekside Internal Medicine is a Internal Medicine in Grand Rapids, Michigan. Creekside Internal Medicine practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Creekside Internal Medicine is 1235284076. The last update date is 2022-07-21.
Creekside Internal Medicine's current location address is 358 68th St Sw, Grand Rapids, Michigan. You can contact this provider via phone number 6162810463 and fax number 6162810576. The mailing address for Creekside Internal Medicine is 358 68th St Sw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Creekside Internal Medicine |
|---|---|
| Address | 358 68th St Sw, Grand Rapids, Michigan |
| Phone Number | 6162810463 |
| Fax Number | 6162810576 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Khan Khan |
| Credentials | M.D. |
| Telephone Number | 6169540600 |
NPI Number Detail
| NPI Number | 1235284076 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 358 68th St Sw |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495487179 |
| Phone Number | 6162810463 |
| Fax Number | 6162810576 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1194836833 | MI | NPI CHARLES ANDREWS, M.D. | |
| 1770545139 | MI | NPI KELLY SCHROEDER, PA-C | |
| 1942311600 | MI | NPI THEODOOR BEELS, M.D. |
Post Comment/ Review Below
What is the Creekside Internal Medicine's 1235284076?
The Creekside Internal Medicine's NPI (National Provider Identifier) Number is 1235284076. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Creekside Internal Medicine?
The Creekside Internal Medicine is situated at 358 68Th St Sw, in the city of Grand Rapids, state of MI, with the zip code 495487179.
What is the area of specialization for Creekside Internal Medicine, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Creekside Internal Medicine is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
When did Creekside Internal Medicine receive its 1235284076 assignment?
The Creekside Internal Medicine was assigned its 1235284076 on 2007-01-24, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Creekside Internal Medicine most recently updated or revised?
The details related to Creekside Internal Medicine, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY