Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301082149 | MI |
N | 111NI0900X | Internist | 4301082149 | MI |
Y | 207RH0002X | Hospice and Palliative Medicine | 4301082149 | MI |
NPI | 1003853987 |
---|---|
Provider Name | Simin Beg |
First Address | Grand Rapids, MI 49503-2560 |
Second Address | Grand Rapids, MI 49503-2563 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 05/03/2021 |