Seemab Gul Khan Md Pc | |
17876 Farmington Rd Bldg C Livonia MI 48152-3104 | |
(734) 522-1406 | |
(734) 522-1407 |
Full Name | Seemab Gul Khan Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 17876 Farmington Rd, Livonia, Michigan |
Authorized Official Name and Position | Seemab Gul Khan (PRESIDENT) |
Authorized Official Contact | 7345221406 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Seemab Gul Khan Md Pc 17876 Farmington Rd Bldg C Livonia MI 48152-3104 Ph: (734) 522-1406 | Seemab Gul Khan Md Pc 17876 Farmington Rd Bldg C Livonia MI 48152-3104 Ph: (734) 522-1406 |
NPI Number | 1083893556 |
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Provider Enumeration Date | 10/31/2007 |
Last Update Date | 11/01/2007 |
Medicare PECOS PAC ID | 1153378740 |
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Medicare Enrollment ID | O20050929000577 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083893556 | NPI | - | NPPES |
4270819 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Seemab G Khan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851485882 PECOS PAC ID: 4587611173 Enrollment ID: I20050406000083 |
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