Individual
MR. FATIN LABIB KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9632 CONANT ST, HAMTRAMCK, MI 48212-3305
(313) 871-1912
Mailing address
2199 RADCLIFFE DR, TROY, MI 48085-6714
(586) 457-7108
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704361559
MI
363L00000X
Nurse Practitioner
Primary
4704361559
MI
Other
Enumeration date
11/16/2023
Last updated
02/05/2026
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