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

Eastes and Khanukov MD PC

Organization Internal Medicine Physician · NPI 1902092273

Eastes and Khanukov MD PC is an Internal Medicine Physician in Clinton Twp, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15500 19 Mile Rd Ste 360
Clinton Twp, MI 48038-6330
Phone: (586) 263-9999
Fax: (586) 263-0581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301048104 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301052968 (MI)

Record details

NPI number1902092273
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Eastes — President · (586) 263-9999
NPI enumeratedSeptember 20, 2007
Last updated in NPPESAugust 11, 2009
Mailing address15500 19 Mile Rd, Suite 360, Clinton Twp, MI 48038-6330

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