Active NPI
Ayesha Khan
- Case Manager/Care Coordinator
- Ann Arbor, MI
National Provider Identifier
1710765482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 4673 Washtenaw Ave
Ann Arbor, MI 48108-1301 - Phone
- (734) 547-5009
- NPI assigned
- Sep 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
4673 Washtenaw Ave
Ann Arbor, MI 48108-1301
Mailing address
16457 Eastwind St
Romulus, MI 48174-3181
Phone (734) 272-3044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1710765482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16457 EASTWIND ST",
"city": "ROMULUS",
"state": "MI",
"postal_code": "481743181",
"telephone_number": "734-272-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4673 WASHTENAW AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081301",
"telephone_number": "734-547-5009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "AYESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-15",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.