Khan, Azmathullah

Khan, Azmathullah is an individual health care provider with primary practice located at 4700 Greenfield Rd , Dearborn MI 48126-4124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Khan, Azmathullah can be contacted via phone (313) 945-6100.

Contact Information

Primary practice address
4700 Greenfield Rd Dearborn MI 48126-4124
Phone: (313) 945-6100
Fax: (313) 945-5260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X AK065422 Michigan

Profile Details

NPI number 1073588943
LBN Legal business name Khan, Azmathullah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073588943 NPPES
Michigan MEDICAID 4534739

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