| Adeel Khan DO PLLC | |
|
249 W Long Lake Rd Troy MI 48098-4676 | |
| (248) 953-2993 | |
| Not Available |
| Full Name | Adeel Khan DO PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 249 W Long Lake Rd, Troy, Michigan |
| Authorized Official Name and Position | Adeel Khan (PRESIDENT) |
| Authorized Official Contact | 2489532993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adeel Khan DO PLLC 3334 Rochester Rd # 191 Troy MI 48083-5426 Ph: (248) 953-2993 | Adeel Khan DO PLLC 249 W Long Lake Rd Troy MI 48098-4676 Ph: (248) 953-2993 |
| NPI Number | 1942052550 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Medicare PECOS PAC ID | 8628417706 |
|---|---|
| Medicare Enrollment ID | O20240423000786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942052550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Adeel Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427614668 PECOS PAC ID: 3779810551 Enrollment ID: I20221011000338 |
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