Khan, Mahmood
Khan, Mahmood is an sole proprietor health care provider with primary practice located at 25880 Outer Dr , Lincoln Park MI 48146-1553. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khan, Mahmood can be contacted via phone (313) 389-5200.Contact Information
Primary practice address
25880 Outer Dr
Lincoln Park MI 48146-1553
Phone: (313) 389-5200
Fax: (313) 389-4935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301031737 | Michigan |
Profile Details
| NPI number | 1255394623 |
|---|---|
| LBN Legal business name | Khan, Mahmood |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Nov 9th, 2010 - about 14 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 | 1255394623 | NPPES |
| Michigan | MEDICAID | 1794888 | |
| Michigan | Other | 08292352 |
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