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General NPI Number Information
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NPI Number | 1790700375
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Entity Type | Individual
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Provider Name | BEENU KAW M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 01/13/2010
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Provider Practice Location Address
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Address Line | 2601 COOLIDGE RD SUITE B
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City | EAST LANSING
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State | MI
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Zip | 48823-6361
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Country | US
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Telephone | 517-913-4050
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Fax | 517-333-0893
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Provider Business Mailing Address
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Address Line | 2601 COOLIDGE RD SUITE B
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City | EAST LANSING
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State | MI
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Zip | 48823-6361
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Country | US
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Telephone | 517-913-4050
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Fax | 517-333-0893
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301086776
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 4301086776
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License Number State | MI
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