Creekside Internal Medicine

LBN: Creekside Internal Medicine
Creekside Internal Medicine is an health care organization with primary practice located at 358 68Th St Sw , Grand Rapids MI 49548-7179. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Creekside Internal Medicine can be contacted via phone (616) 281-0463, or through Khan, Khan via phone (616) 954-0600.

Contact Information

Primary practice address
358 68Th St Sw Grand Rapids MI 49548-7179
Fax: (616) 281-0576
Website:
Authorized official contact:
Name: Khan, Khan Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Michigan

Profile Details

NPI number 1235284076
LBN Legal business name Creekside Internal Medicine
DBA Doing business as
Authorized official Khan, Khan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235284076 NPPES
Michigan Other 1194836833 NPI CHARLES ANDREWS, M.D.
Michigan Other 1770545139 NPI CHARLES ANDREWS, M.D.
Michigan Other 1942311600 NPI CHARLES ANDREWS, M.D.

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