Khan, Wajahat A

Khan, Wajahat A is an individual health care provider with primary practice located at 19229 Mack Ave Ste 24 , Grosse Pointe Woods MI 48236-2857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Khan, Wajahat A can be contacted via phone (313) 884-5522.

Contact Information

Primary practice address
19229 Mack Ave Ste 24 Grosse Pointe Woods MI 48236-2857
Phone: (313) 884-5522
Fax: (313) 884-5521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X WK066812 Michigan

Profile Details

NPI number 1144234782
LBN Legal business name Khan, Wajahat A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Aug 26th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144234782 NPPES
Michigan MEDICAID 4622804
Michigan MEDICAID 4622690
Michigan Other 0824295

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