Provider Demographics
NPI:1609294537
Name:WEST MICHIGAN PRIMARY CARE
Entity type:Organization
Organization Name:WEST MICHIGAN PRIMARY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ARASHDEEP
Authorized Official - Middle Name:K
Authorized Official - Last Name:LITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:616-929-9078
Mailing Address - Street 1:4467 BYRON CENTER AVE SW
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-4808
Mailing Address - Country:US
Mailing Address - Phone:616-929-9078
Mailing Address - Fax:616-328-6468
Practice Address - Street 1:4467 BYRON CENTER AVE SW
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49519-4808
Practice Address - Country:US
Practice Address - Phone:616-929-9078
Practice Address - Fax:616-328-6468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-28
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301092748207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty