Organization Active NPI

Kiran Kinra MD PLLC

  • Internal Medicine Physician
  • Flushing, MI
National Provider Identifier
1336652965
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301042002 Issued in MI
Legal business name
KIRAN KINRA MD PLLC
Practice address
540 Sunnyside Dr
Flushing, MI 48433-1474
Phone
(810) 659-2233
Fax
(810) 659-2246
NPI assigned
Nov 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mariyn Acheff, MD
Title
Office Manager
Phone
(810) 659-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301042002 MI Primary

Addresses

Primary practice location

540 Sunnyside Dr
Flushing, MI 48433-1474

Mailing address

1375 Flushing Rd
Flushing, MI 48433-2262
Phone (810) 659-2233

Other practice location 1

3200 Wyndham Dr
Flushing, MI 48433-2291
Phone (810) 659-7000

Other practice location 2

1219 N Dye Rd
Flint, MI 48532-2216
Phone (810) 732-1946

Other practice location 3

6500 Hickory Hollow Ct
Flint, MI 48532-2055
Phone (810) 820-8180

Other practice location 4

1525 E Pierson Rd
Flushing, MI 48433-1816
Phone (810) 659-8507

Other practice location 5

3100 Wyndham Dr
Flushing, MI 48433-2290
Phone (810) 659-3000

National Provider Directory

National Provider Directory

Locations

1219 N Dye Rd
Flint, MI 48532
Phone (810) 233-6696

1525 E Pierson Rd
Flushing, MI 48433
Phone (313) 558-8444

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1336652965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 FLUSHING RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332262",
            "telephone_number": "810-659-2233",
            "fax_number": "810-659-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 SUNNYSIDE DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484331474",
            "telephone_number": "810-659-2233",
            "fax_number": "810-659-2246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Wyndham Dr",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "MI",
            "postal_code": "484332291",
            "country_code": "US",
            "telephone_number": "810-659-7000",
            "fax_number": "810-659-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1219 N Dye Rd",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485322216",
            "country_code": "US",
            "telephone_number": "810-732-1946",
            "fax_number": "810-732-1946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 Hickory Hollow Ct",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485322055",
            "country_code": "US",
            "telephone_number": "810-820-8180",
            "fax_number": "810-766-9961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 E Pierson Rd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "MI",
            "postal_code": "484331816",
            "country_code": "US",
            "telephone_number": "810-659-8507",
            "fax_number": "810-659-8621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Wyndham Dr",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "MI",
            "postal_code": "484332290",
            "country_code": "US",
            "telephone_number": "810-659-3000",
            "fax_number": "810-659-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIRAN KINRA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ACHEFF",
        "authorized_official_first_name": "MARIYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-659-2233",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301042002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.