Internal Medicine of Dearborn

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301046990 Issued in MI

Legal business name

INTERNAL MEDICINE OF DEARBORN

Practice address

831 Monroe St
Dearborn, MI 48124-2308

Phone

(313) 565-8950

Fax

(313) 769-5931

NPI assigned

Feb 18, 2014

Organization subpart

No

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

Authorized official

Name

Shabana Khan, M.D.NPI 1770569022

Title

Doctor

Phone

(313) 565-8950

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Shabana Khan, M.D.

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1770569022
  Medicare reassignment NPD Authorized official
• Farah Mehdi, M.D.

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1033189477
  Medicare reassignment Care Compare group NPD
• Julia Christine Zaddock, FNP-C

  • Nurse Practitioner
  • Detroit, MI
  • NPI 1578026076
  Medicare reassignment Care Compare group NPD
• Ahlam Elayan, NURSE PRACTIONER

  • Nurse Practitioner
  • Farmington Hills, MI
  • NPI 1669821971
  NPD (past)
• Noor Khalil, FNP-C

  • Family Nurse Practitioner
  • Garden City, MI
  • NPI 1669100541
  NPD (past)

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1164846739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242308",
            "telephone_number": "313-565-8950",
            "fax_number": "313-769-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242308",
            "telephone_number": "313-565-8950",
            "fax_number": "313-769-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF DEARBORN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHABANA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "313-565-8950",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301046990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164846739",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Institute of Sleep & Wellness LLC
• Integrated Health Group, P.C. (Integrated Physical Therapy Centers)
• Integrated Healthcare-Medical PLLC
• Integrative Lifestyle Medicine PLLC
• Integrative Psychological Care PLC
• International Medical Group PLLC
• Interventional Pain & Anesthesia Consultants PLLC
• Intracare-Dearborn
• Irb Medical Equipment LLC (Hart Medical Equipment)
• Guadalupe Sarahi Irineo-Lezama

• Internal Medicine Physician in Dearborn, MI
• Providers in Dearborn, 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 Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.