Individual
MARIAM TAJALLI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
145 MICHIGAN ST NE STE 4400, GRAND RAPIDS, MI 49503-2564
(616) 486-6333
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4351045634
MI
Other
Enumeration date
06/28/2019
Last updated
06/27/2025
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