Individual
DR. SHAHID ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
27850 GRATIOT AVE, ROSEVILLE, MI 48066-4803
(586) 772-5876
(586) 772-1122
Mailing address
27850 GRATIOT AVE, ROSEVILLE, MI 48066-4803
(586) 772-5876
(586) 772-1122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009421
MI
111NI0013X
Independent Medical Examiner Chiropractor
2301009421
MI
111NP0017X
Pediatric Chiropractor
2301009421
MI
111NR0400X
Rehabilitation Chiropractor
2301009421
MI
111NX0100X
Occupational Health Chiropractor
2301009421
MI
225100000X
Physical Therapist
2301009421
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68504
HEALTH PLAN OF MICHIGAN
MI
01
—
MK009421
BCBS OF MI
MI
Enumeration date
01/16/2009
Last updated
06/08/2011
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