# MONIRUZZAMAN KHAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477592905
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | MK057394 | MI | Yes |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 10/13/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0634011 | BCBS | — |
| 01 | — | 120911 | CARE CHOICE | — |
| 01 | — | 1215B | CAPE HEALTH PLAN | — |
| 01 | — | 15486 | HEALTH PLAN OF MICH | — |
| 05 | — | 414952410 | — | MI |
| 01 | — | 6251 | TOTAL HEALTH | — |
| 01 | — | C7543 | MCARE | — |
| 01 | — | G97370 | HEALTH ALLIANCE PLAN | — |
| 01 | — | P105053 | BCN | — |