| Seemab Gul Khan Md Pc | |
|
17876 Farmington Rd Bldg C Livonia MI 48152-3104 | |
| (734) 522-1406 | |
| (734) 522-1407 |
| Full Name | Seemab Gul Khan Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17876 Farmington Rd, Livonia, Michigan |
| Authorized Official Name and Position | Seemab Gul Khan (PRESIDENT) |
| Authorized Official Contact | 7345221406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seemab Gul Khan Md Pc 17876 Farmington Rd Bldg C Livonia MI 48152-3104 Ph: (734) 522-1406 | Seemab Gul Khan Md Pc 17876 Farmington Rd Bldg C Livonia MI 48152-3104 Ph: (734) 522-1406 |
| NPI Number | 1083893556 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 11/01/2007 |
| Medicare PECOS PAC ID | 1153378740 |
|---|---|
| Medicare Enrollment ID | O20050929000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083893556 | NPI | - | NPPES |
| 4270819 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Seemab G Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851485882 PECOS PAC ID: 4587611173 Enrollment ID: I20050406000083 |
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