person
Moniruzzaman Khan, MD
General Practice Physician in Warren, Michigan
NPI 1477592905

Moniruzzaman Khan is a General Practice Physician based in Warren, MI. Moniruzzaman Khan practices in Warren, MI and has the professional credentials of MD. The NPI Number for Moniruzzaman Khan is 1477592905 and holds a License No. MK057394 (Michigan).

The current practice location address for Moniruzzaman Khan is 4402 E 9 Mile Rd, Warren, MI and can be reached out via phone at 586-200-0611 and via fax at 586-381-7055.

Location: 4402 E 9 Mile Rd, Warren, MI, 48091-2590
person
Provider Profile Details
NPI Number
1477592905
Provider Name
Moniruzzaman Khan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4402 E 9 Mile Rd, Warren, MI, 48091-2590
Phone Number
586-200-0611
Fax Number
586-381-7055
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0634011 01 BCBS
G97370 01 HEALTH ALLIANCE PLAN
1215B 01 CAPE HEALTH PLAN
15486 01 HEALTH PLAN OF MICH
414952410 05 MI
120911 01 CARE CHOICE
6251 01 TOTAL HEALTH
P105053 01 BCN
C7543 01 MCARE
institution
Provider Business Practice Location Address Details
Address
4402 E 9 Mile Rd
City
State
Zip
48091-2590
Phone Number
586-200-0611
Fax Number
586-381-7055
person
Provider Business Mailing Address Details
Address
4402 E 9 Mile Rd
City
State
Zip
48091-2590
Phone Number
586-200-0611
Fax Number
586-381-7055
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MK057394 (Michigan)
Definition
Definition to come...
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