Individual
MAHMOOD KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25880 OUTER DR, LINCOLN PARK, MI 48146-1553
(313) 389-5200
(313) 389-4935
Mailing address
25880 OUTER DR, LINCOLN PARK, MI 48146-1553
(313) 389-5200
(313) 389-4935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301031737
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08292352
BCBSMI
MI
05
—
1794888
—
MI
Enumeration date
04/07/2006
Last updated
11/09/2010
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