Organization
INTERNAL MEDICINE OF DEARBORN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHABANA KHAN M.D. (DOCTOR)
(313) 565-8950
Entity
Organization
Contact information
Practice address
831 MONROE ST, DEARBORN, MI 48124-2308
(313) 565-8950
(313) 769-5931
Mailing address
831 MONROE ST, DEARBORN, MI 48124-2308
(313) 565-8950
(313) 769-5931
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301046990
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164846739
—
MI
Enumeration date
02/18/2014
Last updated
08/04/2014
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