Active NPI
Aminah Khan, DO
- Psychiatry Physician
- Clinton Township, MI
National Provider Identifier
1316438989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 5101026599
- Practice address
- 43151 Dalcoma Dr
Clinton Township, MI 48038-6306 - Phone
- (586) 286-8720
- Fax
- (586) 649-6699
- NPI assigned
- May 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5101026599 | MI | Primary |
Addresses
Primary practice location
43151 Dalcoma Dr
Clinton Township, MI 48038-6306
Mailing address
43151 Dalcoma Dr
Clinton Township, MI 48038-6306
Phone (586) 286-8720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180710003816 | MI | Order and Referring Only - Psychiatry | 5597011247 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101026599 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamzavi Psychiatry & Wellness Center PLLC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Farmington Hills, MI
- NPI 1891188124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1316438989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43151 DALCOMA DR",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480386306",
"telephone_number": "586-286-8720",
"fax_number": "586-649-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43151 DALCOMA DR",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480386306",
"telephone_number": "586-286-8720",
"fax_number": "586-649-6699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "AMINAH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-19",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "5101026599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.