Individual
BEENU KAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2601 COOLIDGE RD, SUITE B, EAST LANSING, MI 48823-6361
(517) 913-4050
(517) 333-0893
Mailing address
2601 COOLIDGE RD, SUITE B, EAST LANSING, MI 48823-6361
(517) 913-4050
(517) 333-0893
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301086776
MI
207RN0300X
Nephrology Physician
Primary
4301086776
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M54760005
MEDICARE PLUS BLUE
MI
01
—
1032143
MCLAREN HEALTH PLAN-COMMERCIAL
MI
01
—
1108267411
BLUE CROSS BLUE SHIELD/BLUE CARE NETWORK
MI
01
—
200000014939
PHP
MI
05
—
5208067
—
MI
01
—
7128940
AETNA
MI
01
—
P00464733
RAILROAD MEDICARE
MI
Enumeration date
07/13/2006
Last updated
01/13/2010
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