Organization
MAHMOOD KHAN M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOOD KHAN M.D. (PHYSICIAN)
(313) 389-5200
Entity
Organization
Contact information
Practice address
25880 OUTER DR, LINCOLN PARK, MI 48146-1553
(313) 389-5200
(313) 389-4935
Mailing address
25880 OUTER DR, LINCOLN PARK, MI 48146-1553
(313) 389-5200
(313) 389-4935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301031737
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1794888
—
MI
Enumeration date
04/23/2008
Last updated
11/09/2010
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