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AGE MANAGEMENT AND HORMONE BALANCE CENTER NPI 1730417288


NPI Information

NPI: 1730417288
Provider Name: AGE MANAGEMENT AND HORMONE BALANCE CENTER
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 23D1071912

Address:
1787 GRAND RIDGE CT NE
SUITE 202
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 808-2695
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AGE MANAGEMENT AND HORMONE BALANCE CENTER is an internal medicine in Grand Rapids, MI. The provider is 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 diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. AGE MANAGEMENT AND HORMONE BALANCE CENTER NPI is 1730417288. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1787 GRAND RIDGE CT NE
SUITE 202
GRAND RAPIDS, MI
ZIP 49525-042
Phone: (616) 808-2695
Fax: (616) 808-2697

The provider's authorized official is Piyush Bhatnagar .
The authorized official title is Internist-managing Director and has the following contact phone number (616) 808-2695.

The CLIA number assigned to this NPI record is 23D1071912 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/20/2009 and was last updated on 9/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine4301076867MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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