DR. SYED MAHMOOD ALI KHAN (NPI# 1326231325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326231325 |
| Entity Type | Individual |
| Full Name | DR. SYED MAHMOOD ALI KHAN |
| Credential | M.D. |
| Practice Address |
27483 Dequindre Rd Suite 101 Madison Heights MI 48071-3491 |
| Mailing Address |
29992 Northwestern Hwy Suite C Farmington Hills MI 48334-3292 |
| Practice Telephone | 2485449050 |
| Practice Fax Number | 2485442331 |
| Mailing Telephone | 2488511430 |
| Mailing Fax Number | 2488515281 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301040806 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942665351 | Syed Ziauddin Ahmed Khan | Pharmacist | 14220 Northbrook Dr Ste 100, San Antonio, TX 78232-5045 | 2015-12-30 |
| 1407807746 | Syed J Khan | Psychiatry & Neurology | 10765 Lantern Road, Suite 102, Fishers, IN 46038-3597 | 2006-05-12 |
| 1093799595 | Syed Anjum Khan | Internal Medicine | 1025 Marsh St, Mankato, MN 56001-4752 | 2005-11-30 |
| Street Address |
27483 DEQUINDRE RD SUITE 101 |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-3491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528585130 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 27483 Dequindre Rd, Madison Heights, MI 48071-3491 | 2017-08-24 |
| 1023541067 | Star Pain Management & Rehab LLC | Physical Medicine & Rehabilitation | 27483 Dequindre Rd, Madison Heights, MI 48071-3491 | 2017-04-06 |
| 1497178867 | Michigan Healthcare Professionals | Hearing Aid Equipment | 27483 Dequindre Rd, Suite 201, Madison Heights, MI 48071-3491 | 2014-01-21 |
| 1992126031 | Michigan Healthcare Professionals, P.C. | Prosthetic/Orthotic Supplier | 27483 Dequindre Rd, Suite 306, Madison Heights, MI 48071-3491 | 2013-12-16 |
| 1699010082 | Michigan Healthcare Professionals PC | Audiologist | 27483 Dequindre Rd, Suite 201, Madison Heights, MI 48071-3491 | 2012-12-11 |
| 1356637037 | Gretchen Dunford | Surgery | 27483 Dequindre Rd, Suite 301, Madison Heights, MI 48071-3491 | 2011-06-21 |
| 1215191275 | Ent Surgical Assoc PC | Audiologist-Hearing Aid Fitter | 27483 Dequindre Rd, Suite 201, Madison Heights, MI 48071-5711 | 2008-07-17 |
| 1033384490 | Omg 1pc | Nuclear Medicine | 27483 Dequindre Rd, Suite 101, Madison Heights, MI 48071-3491 | 2008-04-28 |
| 1316111479 | Doctor Howard L Dubin PC | Internal Medicine | 27483 Dequindre Rd, Suite 205, Madison Heights, MI 48071-3491 | 2008-04-18 |
| 1093990889 | Oakland Medical Group PC | Physician Assistant | 27483 Dequindre Rd, Suite 302, Madison Heights, MI 48071-3491 | 2007-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457361792 | Lisa M Porter-grenn | Radiology | 27379 Dequindre, Madison Heights, MI 48071 | 2006-08-09 |
| 1275570848 | Open Mri of Michigan LLC | Radiology | 411 W 13 Mile Rd, Ste 200, Madison Heights, MI 48071-1526 | 2006-06-01 |
| 1366996829 | University Neurosurgical Associates, PC | Radiology | 30781 Stephenson Hwy, Madison Heights, MI 48071-1618 | 2016-08-12 |
| 1780697425 | Roger B Fenton | Radiology | 27379 Dequindre, Madison Heights, MI 48071 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855667 | Joshua Boulter | Radiology | 2250 Providence Drive, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-11 |
| 1679197693 | Shyam Amin | Radiology | Academic Internal Medicine 2 2250 Providence Dr, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-05 |
| 1871116509 | Anthony Diebes | Radiology | 16001 W 9 Mile Rd Bldg 4th, Southfield, MI 48075-4818 | 2020-05-28 |
| 1548823800 | Alexander Paul Kaechele | Radiology | 16001 West 9 Mile Road, Suite #416, Southfield, MI 48075-4818 | 2019-04-22 |
| 1790246627 | Genesis Healthcare | Radiology | 8560 N Silvery Ln Ste 101, Dearborn Heights, MI 48127-4516 | 2019-03-25 |
| 1023572831 | Proscan Imaging Southfield Pllc | Radiology | 29877 Telegraph Rd # 11, Southfield, MI 48034-1332 | 2019-01-25 |
| 1295204253 | Easy Imaging, LLC | Radiology | 16100 19 Mile Rd Ste X, Clinton Township, MI 48038-1148 | 2018-11-20 |
| 1205304888 | Ascension Medical Group Genesys | Radiology | 1096 S Belsay Rd Ste J, Burton, MI 48509-1948 | 2018-11-13 |
| 1336626696 | Quantum Medical Radiology of California, P.C. | Radiology | 1625 Bear Creek Ln Unit O, Petoskey, MI 49770-8378 | 2018-07-19 |
| 1376072488 | Cambridge Institute of Minimally Invasive Therapies Pllc | Radiology | 2007 E 14 Mile Rd, Sterling Heights, MI 48310-5905 | 2017-06-12 |
| Find all providers with the same taxonomy | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.