| Rizwan Khan Pllc | |
|
6071 W Outer Dr Detroit MI 48235-2624 | |
| (734) 462-0340 | |
| (734) 462-0344 |
| Full Name | Rizwan Khan Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6071 W Outer Dr, Detroit, Michigan |
| Authorized Official Name and Position | Rizwan Khan (PRESIDENT) |
| Authorized Official Contact | 2489128080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rizwan Khan Pllc 47530 Alpine Dr Novi MI 48374-4411 Ph: (734) 462-0340 | Rizwan Khan Pllc 6071 W Outer Dr Detroit MI 48235-2624 Ph: (734) 462-0340 |
| NPI Number | 1417500919 |
|---|---|
| Provider Enumeration Date | 07/23/2019 |
| Last Update Date | 11/06/2019 |
| Medicare PECOS PAC ID | 4981931870 |
|---|---|
| Medicare Enrollment ID | O20190815001708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417500919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rizwan Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376876102 PECOS PAC ID: 8527201607 Enrollment ID: I20130821000957 |
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