Individual
NASIR KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LAFAYETTE SE, STE 3000, GRAND RAPIDS, MI 49503
(616) 752-6919
Mailing address
245 STATE STE SE, STE 111, GRAND RAPIDS, MI 49503
(616) 913-1818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301066643
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3416276
—
MI
05
—
3483107
—
MI
05
—
4195661
—
MI
Enumeration date
05/22/2006
Last updated
12/06/2021
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