Active NPI
Saginaw Valley Neurology PLLC
- Neurology Physician
- Saginaw, MI
National Provider Identifier
1225278740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 4301072871
- Legal business name
- SAGINAW VALLEY NEUROLOGY PLLC
- Practice address
- 4677 Towne Centre Rd
Suite 303
Saginaw, MI 48604-2846 - Phone
- (989) 799-8712
- Fax
- (989) 791-1152
- NPI assigned
- Feb 24, 2009
- Last updated
- Mar 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Iftikhar A Khan, MD
- Title
- Owner/President
- Phone
- (989) 799-8712
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 4301072871 | MI | Primary |
Addresses
Primary practice location
4677 Towne Centre Rd
Suite 303
Saginaw, MI 48604-2846
Mailing address
2561 Reliable Pkwy
Chicago, IL 60686-0001
Phone (989) 799-8712
National Provider Directory
National Provider DirectoryLocations
2561 Reliable Pkwy
Chicago, IL 60686
4677 Towne Centre Rd
Ste 303
Saginaw, MI 48604
Phone (989) 401-5354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237852800000",
"number": "1225278740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2561 RELIABLE PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606860001",
"telephone_number": "989-799-8712",
"fax_number": "989-791-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4677 TOWNE CENTRE RD",
"address_2": "SUITE 303",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042846",
"telephone_number": "989-799-8712",
"fax_number": "989-791-1152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGINAW VALLEY NEUROLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-24",
"last_updated": "2009-03-24",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "IFTIKHAR",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "989-799-8712",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301072871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
- Saginaw Valley Geriatrics PLLC
- Saginaw Valley Hearing Clinic
- Saginaw Valley Medical Care PLC
- Saginaw Valley Medical Center PLLC
- Saginaw Valley Medical Imaging
- Saginaw Valley Neurosurgery, P.L.L.C.
- Saginaw Valley Orthodontic Specialists, P.C. (Michigan Orthodontic Specialists)
- Saginaw Valley Pediatrics PLLC
- Saginaw Valley Pharmacy LLC (Saginaw Valley Pharmacy)
- Saginaw Valley Sport & Spine Limited Partnership
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.