Individual
DR. AYESHA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
912 S WASHINGTON AVE, SAGINAW, MI 48601-2564
(989) 791-7900
(989) 791-4114
Mailing address
912 S WASHINGTON AVE, STE B, SAGINAW, MI 48601-2578
(248) 662-0250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301086138
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104821352
—
MI
01
—
700F325300
BCN
MI
01
—
AK086138
BCBS OF MI
MI
01
—
P00237171
METRAHEALTH RR
MI
Enumeration date
05/12/2006
Last updated
11/07/2017
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