Organization
RENAL ASSOCIATES OF MID-MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEEL KHAN M.D. (PRESIDENT)
(989) 837-6505
Entity
Organization
Contact information
Practice address
415 W WACKERLY ST, MIDLAND, MI 48640-2739
(989) 837-6505
(989) 835-8428
Mailing address
415 W WACKERLY ST, MIDLAND, MI 48640-2739
(989) 837-6505
(989) 835-8428
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
MI
207R00000X
Internal Medicine Physician
—
MI
207RN0300X
Nephrology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E61173
BCBSM
MI
Enumeration date
09/14/2007
Last updated
12/23/2025
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