Individual
AHMED RAZA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-2436
Mailing address
601 ELMWOOD AVENUE BOX 604, ROCHESTER, NY 14642-0001
(585) 275-2141
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
058157
MI
207L00000X
Anesthesiology Physician
Primary
186875
NY
208000000X
Pediatrics Physician
058157
MI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
058157
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339246010
—
MI
01
—
700H262280
BLUE CROSS-BLUE CROSS
—
01
—
AK058157
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
11/20/2006
Last updated
05/15/2023
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