Organization
INSTITUTE OF GENERAL AND ENDOVASCULAR NEUROSURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAH-NAZ KHAN M.D. (OWNER)
(810) 212-4100
Entity
Organization
Contact information
Practice address
1295 S. LINDEN ROAD, SUITE A, FLINT, MI 48532
(810) 212-4100
(810) 250-4514
Mailing address
1295 S. LINDEN ROAD, SUITE A, FLINT, MI 48532
(810) 212-4100
(810) 250-4514
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301062181
MI
Other
Enumeration date
02/04/2015
Last updated
03/11/2015
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