Individual
DR. AZMATHULLAH KHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 GREENFIELD RD, DEARBORN, MI 48126-4124
(313) 945-6100
(313) 945-5260
Mailing address
4700 GREENFIELD RD, DEARBORN, MI 48126-4124
(313) 945-6100
(313) 945-5260
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
AK065422
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4534739
—
MI
Enumeration date
02/22/2006
Last updated
07/08/2007
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