Individual
ALI A KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
168 N CASEVILLE RD, PIGEON, MI 48755-9704
(989) 453-3585
(989) 453-3074
Mailing address
168 N CASEVILLE RD, PIGEON, MI 48755-9704
(989) 453-3585
(989) 453-3074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301053789
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3121082
—
MI
Enumeration date
08/20/2006
Last updated
03/31/2021
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