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Individual
DR. SHABANA KHAN
Active
Individual
DR. SHABANA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301046990
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770569022
—
MI
01
—
503292
CARE-PREFERRED CHOICES
MI
01
—
700H222490
BLUE SHIELD
MI
Enumeration date
12/19/2005
Last updated
02/18/2011
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