Individual
ABDUL ALEEM KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12345 TELEGRAPH RD STE 9, TAYLOR, MI 48180-6860
(313) 265-0627
Mailing address
12345 TELEGRAPH RD STE 9, TAYLOR, MI 48180-6860
(313) 571-1200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301071505
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024240
MIDWEST HEALTH PLAN
—
05
—
104690368
—
MI
01
—
2608233242
BCBS
—
01
—
36036
HEALTH PLAN OF MICHIGAN
—
01
—
530558
VALUE OPTIONS
—
01
—
9374069
PHCS
—
01
—
H71202
HAP
—
Enumeration date
10/31/2006
Last updated
06/08/2019
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