Basic Information
| Provider Information | |||||||||
| NPI: | 1790396349 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AARK HOSPITALIST PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3819 HURON DR | ||||||||
| Address2: | |||||||||
| City: | TROY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480841696 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2487605688 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 GENESYS PKWY | ||||||||
| Address2: | |||||||||
| City: | GRAND BLANC | ||||||||
| State: | MI | ||||||||
| PostalCode: | 484398065 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8106065000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2020 | ||||||||
| LastUpdateDate: | 08/16/2020 | ||||||||
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| AuthorizedOfficialLastName: | KHANNA | ||||||||
| AuthorizedOfficialFirstName: | ANEETA | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2487605688 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 08/16/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.