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Individual

SHAHID KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16001 W 9 MILE RD, DEPT OF NEONATOLOGY, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
43800 GARFIELD RD, SUITE 211, CLINTON TWP, MI 48038-1136
(586) 226-6838

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301039054
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1753284
ECFMG
05
320168410
MI
01
4301039054
CONTOLLED SUBSTANCE
MI
Enumeration date
08/22/2005
Last updated
03/07/2023
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