Minu Khalili, PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501010711 Issued in MI

Practice address

30795 23 Mile Rd
Chesterfield, MI 48047-5720

Phone

(586) 421-3030

Fax

(586) 421-3031

NPI assigned

Apr 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Minu Khalili-Panah Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1524873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593216000000",
    "number": "1811485477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30795 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475720",
            "telephone_number": "586-421-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30795 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475720",
            "telephone_number": "586-421-3030",
            "fax_number": "586-421-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30795 23 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MI",
            "postal_code": "480475720",
            "country_code": "US",
            "telephone_number": "586-421-3030",
            "fax_number": "586-421-3031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30795 23 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MI",
            "postal_code": "480475720",
            "country_code": "US",
            "telephone_number": "586-421-3030",
            "fax_number": "586-421-3031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALILI",
        "first_name": "MINU",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-28",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501010711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINU",
            "last_name": "KHALILI-PANAH",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Natalie Marie Kerry, RN
• Maerna Kersha, DMD
• Kendyl Ketelhut
• Kendra Keys
• Raven Keys
• Harras Khan
• Mansoor Khan, PHARM. D.
• Rubina Khan
• Zuha Khan
• Monika Khanna, P.T.

• Physical Therapy Clinic/Center in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2020; 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.