Mumtaz J Khan, MD is a
Otolaryngology physician based in Grosse Pointe Park, Michigan. Mumtaz J Khan is licensed to practice in Michigan (license number 4301065423) and his current practice location is Henry Ford Health System, 15401 East Jefferson, Grosse Pointe Park, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 824-4800.
NPI number for Mumtaz J Khan is 1902973985 and his current mailing address is Henry Ford Health System, 15401 East Jefferson, Grosse Pointe Park, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902973985.
Physician's Profile
| Full Name | Mumtaz J Khan |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | Henry Ford Health System, Grosse Pointe Park, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902973985
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mumtaz J Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902973985 | NPI | - | NPPES |
| 434035010 | Medicaid | MI | |
| MK065423 | Other | | CHAMPUS-CHAMPUS |
| 700H262260 | Other | | BLUE CROSS-BLUE CROSS |
| MK065423 | Other | | COMMERCIAL-COMMERCIAL NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 4301065423 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mumtaz J Khan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mumtaz J Khan, MD
Henry Ford Health System, 15401 East Jefferson,
Grosse Pointe Park, MI 48230
Ph: (313) 824-4800 | Mumtaz J Khan, MD
Henry Ford Health System, 15401 East Jefferson,
Grosse Pointe Park, MI 48230
Ph: (313) 824-4800 |
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