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Individual

WAJAHAT A KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19229 MACK AVE STE 24, GROSSE POINTE WOODS, MI 48236-2857
(313) 884-5522
(313) 884-5521
Mailing address
19229 MACK AVE STE 24, GROSSE POINTE WOODS, MI 48236-2857
(313) 884-5522
(313) 884-5521

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
WK066812
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0824295
BCN
MI
05
4622690
MI
05
4622804
MI
Enumeration date
07/28/2006
Last updated
08/26/2015
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