Individual
MUKHTAR AHMAD KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25779 KELLY RD, SUITE C, ROSEVILLE, MI 48066-4973
(586) 774-0700
(586) 774-9841
Mailing address
25779 KELLY RD, SUITE C, ROSEVILLE, MI 48066-4973
(586) 774-0700
(586) 774-9841
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MK044345
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2898009
—
MI
01
—
P41411
BCN
MI
Enumeration date
09/01/2006
Last updated
07/08/2007
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