Organization
HAMTRAMCK PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIRUZZAMAN KHAN M.D (PEDIATRICIAN)
(313) 366-4000
Entity
Organization
Contact information
Practice address
12033 CONANT ROAD, HAMTRAMCK, MI 48212
(313) 366-4000
(313) 366-4001
Mailing address
12033 CONANT ROAD, HAMTRAMCK, MI 48212
(313) 366-4000
(313) 366-4001
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301057394
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4149524
—
MI
01
—
G97370
HAP UPIN NUMBER
MI
Enumeration date
03/31/2011
Last updated
02/07/2012
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