Mukhtar A Khan Md,Facc,Pc

LBN: Mukhtar A Khan Md,Facc,Pc
Mukhtar A Khan Md,Facc,Pc is an health care organization with primary practice located at 25779 Kelly Rd Suite C, Roseville MI 48066-4973. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Mukhtar A Khan Md,Facc,Pc can be contacted via phone (586) 774-0700, or through Khan, Mukhtar Ahmad via phone (586) 774-0700.

Contact Information

Primary practice address
25779 Kelly Rd Suite C Roseville MI 48066-4973
Fax: (586) 774-9841
Website:
Authorized official contact:
Name: Khan, Mukhtar Ahmad MD,FACC,CBNC,,PC

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MK044345 Michigan

Profile Details

NPI number 1174625214
LBN Legal business name Mukhtar A Khan Md,Facc,Pc
DBA Doing business as
Authorized official Khan, Mukhtar Ahmad MD,FACC,CBNC,,PC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174625214 NPPES
Michigan MEDICAID 2898009

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