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Individual

MAHNOOR KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101026515
MI
207RN0300X
Nephrology Physician
5101026515
MI
207RN0300X
Nephrology Physician
OS16244
FL

Other

Enumeration date
03/16/2016
Last updated
09/28/2022
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