Individual
ASGHAR KHAGHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BARCLAY AVE NE, SUITE 200, GRAND RAPIDS, MI 49503-2556
(616) 391-2802
(616) 391-8875
Mailing address
100 MICHIGAN NE, MC 845, GRAND RAPIDS, MI 49503
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
4301096725
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301096725
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760792311
—
MI
Enumeration date
10/18/2010
Last updated
05/03/2013
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