Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Creekside Internal Medicine

Organization Internal Medicine Physician · NPI 1235284076

Creekside Internal Medicine is an Internal Medicine Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

358 68th St SW
Grand Rapids, MI 49548-7179
Phone: (616) 281-0463
Fax: (616) 281-0576
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (MI)

Record details

NPI number1235284076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khan Khan — President · (616) 954-0600
NPI enumeratedJanuary 24, 2007
Last updated in NPPESJuly 21, 2022
Mailing address358 68th St Sw, Grand Rapids, MI 49548-7179

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