Individual
MOHAMMAD M KHAGHANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1722 SHAFFER ST, SUITE 2, KALAMAZOO, MI 49048-1633
(269) 343-1555
(269) 343-3209
Mailing address
1722 SHAFFER ST, SUITE 2, KALAMAZOO, MI 49048-1633
(269) 343-1555
(269) 343-3209
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
039427
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03931791
BLUE CROSS BLUE SHIELD
MI
05
—
4240560
—
MI
Enumeration date
05/05/2006
Last updated
11/06/2007
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