Individual
IKRAMUDDIN AHMED KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
24402 EL MARCO DR, FARMINGTON HILLS, MI 48336-2043
(781) 325-3079
Mailing address
24402 EL MARCO DR, FARMINGTON HILLS, MI 48336-2043
(781) 325-3079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014419
MI
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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