Individual
ADEEL KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 W WACKERLY ST, MIDLAND, MI 48640-2761
(989) 837-6505
(989) 835-8428
Mailing address
415 W WACKERLY ST, MIDLAND, MI 48640-2761
(989) 837-6505
(989) 835-8428
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301062170
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0989454
HEALTHPLUS COMMERCIAL
MI
01
—
1006835
MCLAREN HEALTH PLAN
MI
01
—
1011192
MCLAREN HEALTH PLAN
MI
01
—
1032653
MCLAREN
MI
01
—
1105610461
BCBSM
MI
01
—
200000005783
PHP COMMERCIAL
MI
01
—
200000014300
PHP COML.
MI
05
—
4584928
—
MI
Enumeration date
07/02/2006
Last updated
01/22/2013
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