Shyyaan Ali Khan

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

20596 Hall Rd
Clinton Township, MI 48038-5326

Phone

(586) 371-6196

NPI assigned

Jan 13, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1235949090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11335 OLIVE ST",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480936559",
            "telephone_number": "586-871-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20596 HALL RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385326",
            "telephone_number": "586-371-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHYYAAN",
        "middle_name": "ALI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laila Khan
• M Raafe Ali Khan, MD
• Nadia Khan
• Nida Khan, MA LLPC
• Sameera Khan, M.D.
• Tehrim Khan, MD
• Anurag Khandavalli, DO
• Shefali Khanna
• Eugeniya Khanukov, MD
• Abdo-Rahman Mohammad Khassawneh, MD

• Athletic Trainer in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.