# MAHMOOD KHAN M.D., P.C.

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

## Provider details

- **NPI number:** 1477728392
- **Authorized official:** MAHMOOD KHAN M.D. (PHYSICIAN)
- **Authorized official phone:** (313) 389-5200

## Contact information

- **Practice address:** 25880 OUTER DR, LINCOLN PARK, MI 48146-1553
- **Practice address phone:** (313) 389-5200
- **Practice address fax:** (313) 389-4935
- **Mailing address:** 25880 OUTER DR, LINCOLN PARK, MI 48146-1553
- **Mailing address phone:** (313) 389-5200
- **Mailing address fax:** (313) 389-4935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301031737 | MI | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 11/09/2010
