Provider Demographics
NPI:1376929679
Name:CREEK MEDICAL, PLLC
Entity Type:Organization
Organization Name:CREEK MEDICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RASHID
Authorized Official - Middle Name:
Authorized Official - Last Name:ANJUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-267-9921
Mailing Address - Street 1:6 BELLA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-1879
Mailing Address - Country:US
Mailing Address - Phone:717-516-1290
Mailing Address - Fax:877-991-9125
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-516-1290
Practice Address - Fax:877-991-9125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty