Azmathullah Khan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

AK065422 Issued in MI

Practice address

4700 Greenfield Rd
Dearborn, MI 48126-4124

Phone

(313) 945-6100

Fax

(313) 945-5260

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Azmathullah Khan PLLC

  • Pediatrics Physician
  • Dearborn, MI
  • NPI 1265000848
  NPD Authorized official
• Associated Physicians of Dearborn, PLLC

  • Multi-Specialty Clinic/Center
  • Dearborn, MI
  • NPI 1982636460
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073588943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264124",
            "telephone_number": "313-945-6100",
            "fax_number": "313-945-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264124",
            "telephone_number": "313-945-6100",
            "fax_number": "313-945-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AZMATHULLAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "AK065422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4534739",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amal Ahmed Khalyleh
• Mohammad Ahmed Khalyleh
• Adam Khan, M.D.
• Adeel Khan, PT, DPT
• Ayaz Khan, O.D.
• Hamza Farooq Khan
• Jasmine Khan, BSN, RN
• Mahwish Wali Khan I
• Mohamadomar Khalid Khan, DPT
• Parvez Khan, M.D.

• Pediatrics Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.