Individual
ASHRAF I KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5625 WATER TOWER PL, SUITE 220, CLARKSTON, MI 48346-2671
(248) 620-4265
(248) 620-4262
Mailing address
1701 LAKE LANSING RD, SUITE 100, LANSING, MI 48912-3798
(517) 485-0001
(517) 485-1138
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
AK011353
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0556302985
BLUE CROSS BLUE SHIELD
MI
05
—
3326123
—
MI
Enumeration date
08/29/2006
Last updated
08/06/2007
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