Eastes And Khanukov Md Pc
LBN: Eastes And Khanukov Md Pc
Eastes And Khanukov Md Pc is an health care organization with primary practice located at 15500 19 Mile Rd Suite 360, Clinton Twp MI 48038-6330. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Eastes And Khanukov Md Pc can be contacted via phone (586) 263-9999, or through Eastes, Bryan K via phone (586) 263-9999.
Contact Information
Primary practice address
15500 19 Mile Rd Suite 360
Clinton Twp MI 48038-6330
Phone: (586) 263-9999
Fax: (586) 263-0581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301048104 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301052968 | Michigan |
Profile Details
| NPI number | 1902092273 |
|---|---|
| LBN Legal business name | Eastes And Khanukov Md Pc |
| DBA Doing business as | |
| Authorized official | Eastes, Bryan K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2007 |
| Last updated | Aug 11th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902092273 | NPPES |
| Michigan | MEDICAID | 104223612 | |
| Michigan | MEDICAID | 104223588 | |
| Michigan | Other | 110E011460 |
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