Provider Demographics
NPI:1184674939
Name:KREIT, RIM (MD)
Entity Type:Individual
Prefix:DR
First Name:RIM
Middle Name:
Last Name:KREIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21250 HALL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-7232
Mailing Address - Country:US
Mailing Address - Phone:586-566-8240
Mailing Address - Fax:586-566-8404
Practice Address - Street 1:21250 HALL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-7232
Practice Address - Country:US
Practice Address - Phone:586-566-8240
Practice Address - Fax:586-566-8404
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301082989207Q00000X
OH35-084586207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MII19171Medicare UPIN
MI0E06280083Medicare PIN
OHI19171Medicare UPIN
OH4144901Medicare PIN