Khan, Bader Fatima
Khan, Bader Fatima is an sole proprietor health care provider with primary practice located at 8528 N Canton Center Rd , Canton MI 48187-1310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Khan, Bader Fatima can be contacted via phone (734) 414-9944.Contact Information
Primary practice address
8528 N Canton Center Rd
Canton MI 48187-1310
Phone: (734) 414-9944
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301065296 | Michigan |
Profile Details
| NPI number | 1174593966 |
|---|---|
| LBN Legal business name | Khan, Bader Fatima |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Dec 3rd, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174593966 | NPPES |
| Michigan | MEDICAID | 4673966 |
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