| M N Khan Pc | |
|
43368 Woodward Ave Suite 104 Bloomfield Hills MI 48302-5051 | |
| (248) 758-0730 | |
| (248) 758-2060 |
| Full Name | M N Khan Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 43368 Woodward Ave, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Muhammad Nadeem Khan (PRESIDENT) |
| Authorized Official Contact | 2483207164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M N Khan Pc 6074 Orchard Ridge Ct West Bloomfield MI 48322-2439 Ph: (248) 320-7164 | M N Khan Pc 43368 Woodward Ave Suite 104 Bloomfield Hills MI 48302-5051 Ph: (248) 758-0730 |
| NPI Number | 1053553107 |
|---|---|
| Provider Enumeration Date | 04/02/2009 |
| Last Update Date | 06/19/2009 |
| Medicare PECOS PAC ID | 3870643372 |
|---|---|
| Medicare Enrollment ID | O20090603000561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053553107 | NPI | - | NPPES |
| 1106322821 | Other | MI | BLUE CROSS BLUE SHIELD |
| 3308054 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301063986 (Michigan) | Primary |
| Provider Name | Muhammad N Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861461451 PECOS PAC ID: 7618051079 Enrollment ID: I20080222000520 |
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