Individual
DR. SHAHIDA R KHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 WILLIAM CARLS DR, COMMERCE, MI 48382-2201
(248) 937-3300
Mailing address
PO BOX 321061, DETROIT, MI 48232-1061
(248) 543-8070
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301045417
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2795932
—
MI
Enumeration date
06/12/2006
Last updated
07/08/2007
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