# INTERNAL MEDICINE OF DEARBORN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164846739
- **Authorized official:** SHABANA KHAN M.D. (DOCTOR)
- **Authorized official phone:** (313) 565-8950

## Contact information

- **Practice address:** 831 MONROE ST, DEARBORN, MI 48124-2308
- **Practice address phone:** (313) 565-8950
- **Practice address fax:** (313) 769-5931
- **Mailing address:** 831 MONROE ST, DEARBORN, MI 48124-2308
- **Mailing address phone:** (313) 565-8950
- **Mailing address fax:** (313) 769-5931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301046990 | MI | Yes |

## Other

- **Enumeration date:** 02/18/2014
- **Last updated:** 08/04/2014