Organization
M N KHAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUHAMMAD NADEEM KHAN MD (PRESIDENT)
(248) 320-7164
Entity
Organization
Contact information
Practice address
43368 WOODWARD AVE, SUITE 104, BLOOMFIELD HILLS, MI 48302-5051
(248) 758-0730
(248) 758-2060
Mailing address
6074 ORCHARD RIDGE CT, WEST BLOOMFIELD, MI 48322-2439
(248) 320-7164
(248) 758-2060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301063986
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106322821
BLUE CROSS BLUE SHIELD
MI
05
—
3308054
—
MI
Enumeration date
04/02/2009
Last updated
06/19/2009
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