M Jamil a Khan MD PC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

4301031939 Issued in MI

Legal business name

M JAMIL A KHAN MD PC

Practice address

1206 Richardson St
Port Huron, MI 48060-3549

Phone

(810) 984-4340

Fax

(810) 984-2303

NPI assigned

Jan 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed Jamil Ahmed Khan

Title

Owner

Phone

(810) 984-4340

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Lisa Ann Dunlap Krieger, PA

  • Physician Assistant
  • Port Huron, MI
  • NPI 1912493867
  NPD
• Ali Saad, D.O.

  • Allergy & Immunology Physician
  • Southgate, MI
  • NPI 1952697112
  NPD (past)

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1770760506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 RICHARDSON ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 RICHARDSON ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603549",
            "telephone_number": "810-984-4340",
            "fax_number": "810-984-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M JAMIL A KHAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMED JAMIL",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-984-4340",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301031939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2108970",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Guy Lynch
• Monique Marie Lynch
• Alyssa Morgan Lyon
• Ke Ma, DO
• John William Macdonald IX
• Laura Roberta Macdonald
• Michelle Macdonald, RN
• Rose Macdonald, LLPC

• Allergy & Immunology Physician in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Allergy & Immunology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.