Individual
KHAN JAVAN NEDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3230 EAGLE PARK DR NE, SUITE 101, GRAND RAPIDS, MI 49525-7007
(616) 954-0600
(616) 954-1675
Mailing address
3230 EAGLE PARK DR NE, SUITE 101, GRAND RAPIDS, MI 49525-7007
(616) 954-0600
(616) 954-1675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301406762
MI
208M00000X
Hospitalist Physician
4301406762
MI
Other
Enumeration date
02/15/2006
Last updated
02/09/2016
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