Mashal Khan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901020474 Issued in MI

Practice address

300 W 14 Mile Rd
Troy, MI 48083-4218

Phone

(248) 585-5227

Fax

(248) 585-6358

NPI assigned

Aug 19, 2011

Last updated

Feb 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1841570017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5456 SAINT MARTINS CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022549",
            "telephone_number": "248-298-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 14 MILE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834218",
            "telephone_number": "248-585-5227",
            "fax_number": "248-585-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MASHAL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Key-Carniak
• Khalid Rao MD PC
• Christine Khamis, PA-C
• Khamooshi PLLC
• Christina Khamooshi
• Mir Yousufuddin Ali Khan, MD
• Mohammad Khan, PHYSICAL THERAPIST
• Nadeem A Khan, PT
• Rizwan Khan, M.D.
• Sabrina Khan, PT, DPT, MS

• Dentist in Troy, MI
• Providers in Troy, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.

Verify at the official NPI Registry.