BABAR SANAULLAH


Address: 2000 Burton St Se, Ste 1, Grand Rapids, MI 49506-4670
Phone: 6164850069

BABAR SANAULLAH (NPI# 1376593806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376593806
Entity Type Individual
Full Name BABAR SANAULLAH
Credential MD
Practice Address 2000 Burton St Se
Ste 1
Grand Rapids
MI 49506-4670
Mailing Address Po Box 289
Jenison
MI 49429-0289
Practice Telephone 6164850069
Practice Fax Number 6167244873
Mailing Telephone 6164579000
Mailing Fax Number 6164573801
Enumeration Date 2006-05-12
Last Update Date 2014-12-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 4301062148 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RR MEDICARE P00046081 01
MI 104491201 05
MI BCBS 1104104781 01

Office Location

Street Address 2000 BURTON ST SE
STE 1
City GRAND RAPIDS
State MI
Zip Code 49506-4670

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396700761 Daniel J Olsen Surgery 2000 Burton St Se, Grand Rapids, MI 49506-4670 2006-04-19
1710439955 Joellen Bender Physical Therapist 2000 Burton St Se, Suite 1, Grand Rapids, MI 49506-4622 2016-11-03
1083062533 Amanda Marie Seymour Physical Therapist 2000 Burton St Se, Suite 1, Grand Rapids, MI 49506-4622 2016-05-25
1730350497 Davis L Dalton Do PC Obstetrics & Gynecology 2000 Burton St Se, Grand Rapids, MI 49506-4670 2008-03-20
1578732228 Tricia Marie Wheelock Occupational Therapist 2000 Burton St Se, Grand Rapids, MI 49506-4670 2008-02-27
1811173412 Daniel Olsen Do Orthopaedic Surgery 2000 Burton St Se, Grand Rapids, MI 49506-4670 2008-01-14
1346425436 Ricardo Garza Quintero, M.d., P.C. Internal Medicine 2000 Burton St Se, Grand Rapids, MI 49506-4670 2008-01-08
1861564205 Marc A Hoeksema Md PC Surgery 2000 Burton St Se, Grand Rapids, MI 49506-4670 2006-11-14
1144303272 Joseph Timoshenko Oettinger Obstetrics & Gynecology 2000 Burton St Se, Grand Rapids, MI 49506-4670 2006-10-23
1750346649 Gary L Miller Psychiatry & Neurology 2000 Burton St Se, Grand Rapids, MI 49506-4670 2006-04-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356954705 Mckenna Shank Technician 1409 E Beltline Ave Se, Grand Rapids, MI 49506 2020-08-26
1750917969 Meghan Elizabeth Southwell Social Worker Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 2020-03-19
1356876536 Lisa Finkbeiner Chiropractor 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 2017-04-26
1447622964 Ashley Robinson Rehabilitation Practitioner 1490 East Beltline Ave, Grand Rapids, MI 49506 2015-10-23
1770951584 Stuart Segal Behavioral Analyst 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 2015-09-10
1922476373 Elizabeth Taylor Nurse Practitioner 2255 Wealthy Dr., Grand Rapids, MI 49506 2015-09-02
1780066092 Carole Walters Counseling Social Worker 959 Wealthy St. Se, Grand Rapids, MI 49506 2015-06-23
1053792697 Rosemary F. Trimpe Social Worker 4255 Kalamazoo Se, Grand Rapids, MI 49506 2015-06-09
1164809919 Gary James Rehabilitation Practitioner 1490 E. Beltline Se, Grand Rapids, MI 49506 2015-04-30
1275925315 Paul Cole Counselor 1101 Ball Ave. .se., Grand Rapids, MI 49506 2015-02-26
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972098242 Iman Qaiser Internal Medicine 200 Jefferson Ave Se Bldg Ste 305, Grand Rapids, MI 49503-4502 2018-06-28
1477048437 Angelea Young Heider Internal Medicine 25 Michigan St Ne Ste 210, Grand Rapids, MI 49503-2515 2018-06-22
1386165942 Sheda Monfared Beheshti Internal Medicine 300 Lafayette Ave Se Ste 3000, Grand Rapids, MI 49503-4692 2017-07-03
1831571389 David Bryska Internal Medicine 300 Lafayette Ave Se # 3000, Grand Rapids, MI 49503-4692 2015-06-22
1104238484 Andrea Landon Internal Medicine 2144 E Paris Ave Se # 200, Grand Rapids, MI 49546-6111 2014-05-21
1669813259 Ruchira Sengupta Internal Medicine 100 Michigan St Ne # Mc031, Grand Rapids, MI 49503-2560 2013-07-10
1740595735 Anas Ahmad Internal Medicine 1959 East Paris Ave S.e., Grand Rapids, MI 49546 2010-08-13
1871805895 Spectrum Health Primary Care Partners Internal Medicine 4444 Kalamazoo Ave Sw, Suite 200, Grand Rapids, MI 49508 2010-07-07
1538489828 Randall W. Green Md PC Internal Medicine 4070 Lake Dr Se Ste 201, Grand Rapids, MI 49546-8294 2010-06-09
1114120771 David Chi Ming Shen Internal Medicine 310 Lafayette Se, Ste 415, Grand Rapids, MI 49503 2007-06-08
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49506

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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