Individual
MANAAL KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24224 JOY RD, REDFORD, MI 48239-1215
(313) 561-9090
Mailing address
24224 JOY RD, REDFORD, MI 48239-1215
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010660
MI
Other
Enumeration date
10/10/2021
Last updated
02/17/2022
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