Mukhtar Ahmad Khan, MD | |
25779 Kelly Rd, Suite C, Roseville, MI 48066-4973 | |
(586) 774-0700 | |
(586) 774-9841 |
Full Name | Mukhtar Ahmad Khan |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 25779 Kelly Rd, Roseville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306948435 | NPI | - | NPPES |
P41411 | Other | MI | BCN |
2898009 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | MK044345 (Michigan) | Primary |
Entity Name | Mukhtar A Khan Md Facc Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174625214 PECOS PAC ID: 3476569203 Enrollment ID: O20060302000352 |
Mailing Address | Practice Location Address |
---|---|
Mukhtar Ahmad Khan, MD 25779 Kelly Rd, Suite C, Roseville, MI 48066-4973 Ph: (586) 774-0700 | Mukhtar Ahmad Khan, MD 25779 Kelly Rd, Suite C, Roseville, MI 48066-4973 Ph: (586) 774-0700 |
Robert Lewis Marchese, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 25810 Kelly Rd, Suite 3, Roseville, MI 48066 Phone: 586-777-9724 Fax: 586-777-9725 | |
Benjamin O Osowa, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 18263 E 10 Mile Rd, Suite E, Roseville, MI 48066 Phone: 586-552-8696 Fax: 586-552-4404 | |
Dr. Majid Alzagoum, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066 Phone: 586-776-8877 Fax: 586-776-3092 | |
Dr. Wahed Ishaqsei, M.D. Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 18263 E 10 Mile Rd, Suite D, Roseville, MI 48066 Phone: 586-778-4950 Fax: 586-778-4952 | |
Dr. Mohamad K. Ajjour, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066 Phone: 586-776-8877 Fax: 586-776-3092 | |
Dr. Ameer Abdulrazzak, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 18001 E 10 Mile, Suite 1, Roseville, MI 48066 Phone: 586-218-5800 Fax: 586-218-5808 | |
Dr. Madjid Mesgarzadeh, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 25910 Kelly Rd, Suite B, Roseville, MI 48066 Phone: 586-772-3366 Fax: 586-772-3355 |