# PARVEZ KHAN MD PC,

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PARVEZ KHAN MD, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134459662
- **Authorized official:** PARVEZ KHAN MD (OWNER)
- **Authorized official phone:** (313) 274-1800

## Contact information

- **Practice address:** 861 MONROE ST, DEARBORN, MI 48124-2308
- **Practice address phone:** (313) 274-1800
- **Practice address fax:** (313) 274-8717
- **Mailing address:** 861 MONROE ST, DEARBORN, MI 48124-2308
- **Mailing address phone:** (313) 274-1800
- **Mailing address fax:** (313) 274-8717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0200X | Oncology Clinic/Center | PK047634 | MI | Yes |

## Other

- **Enumeration date:** 01/06/2010
- **Last updated:** 07/24/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 101817650 | — | MI |
| 01 | — | 110019977 | PALMETTO RAILROAD MEDICARE | MI |