M N Khan PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301063986 Issued in MI

Legal business name

M N KHAN PC

Practice address

43368 Woodward Ave
Suite 104
Bloomfield Hills, MI 48302-5051

Phone

(248) 758-0730

Fax

(248) 758-2060

NPI assigned

Apr 2, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Muhammad Nadeem Khan, MDNPI 1861461451

Title

President

Phone

(248) 320-7164

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17291/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Muhammad Khan, MD

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1861461451
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1053553107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6074 ORCHARD RIDGE CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222439",
            "telephone_number": "248-320-7164",
            "fax_number": "248-758-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43368 WOODWARD AVE",
            "address_2": "SUITE 104",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025051",
            "telephone_number": "248-758-0730",
            "fax_number": "248-758-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M N KHAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "NADEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-320-7164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301063986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1106322821",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3308054",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lynn M. Sikorski, D.O., P.C.
• M a Verardi MD PC
• Tristan Mabin
• Debra A Macarthur, CRNA
• Kelly Ann Macaulay, ,BS,QMHP,QI/DDP,GCDF
• Richard Wayne Macfarlane, MA,LLP
• Susan M Madden, D.O.

• Internal Medicine Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.