FAHAD FAZIL KHADHUMIAN SHAHJAHAN


Address: 6001 W Outer Dr, Detroit, MI 48235-2614
Phone: 2486864060

FAHAD FAZIL KHADHUMIAN SHAHJAHAN (NPI# 1558781450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558781450
Entity Type Individual
Full Name FAHAD FAZIL KHADHUMIAN SHAHJAHAN
Credential M.D
Practice Address 6001 W Outer Dr
Detroit
MI 48235-2614
Mailing Address 7843 Timberlane Trl
West Bloomfield
MI 48323-4012
Practice Telephone 2486864060
Mailing Telephone 2486864060
Enumeration Date 2014-04-18
Last Update Date 2018-11-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 4301105592 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 6001 W OUTER DR
City DETROIT
State MI
Zip Code 48235-2614

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093780611 Susan Elaine Harold Internal Medicine 6001 W Outer Dr, Suite 429, Detroit, MI 48235-2614 2006-02-17
1891396800 Ashley Sentell Nurse Practitioner 6001 W Outer Dr, Detroit, MI 48235-2614 2020-11-05
1841815974 Heba Ahmed Elmadhoun Pharmacist 6001 W Outer Dr, Detroit, MI 48235-2614 2020-06-15
1710495346 Katherine Memisevic Nurse Anesthetist, Certified Registered 6001 W Outer Dr, Detroit, MI 48235-2614 2018-01-17
1467985911 Omar Elmadhoun Student in an Organized Health Care Education/Training Program 6001 W Outer Dr, Detroit, MI 48235-2614 2017-04-11
1083161905 Julia Marie Burkhardt Physician Assistant 6001 W Outer Dr, Detroit, MI 48235-2614 2016-09-08
1902251879 Mi Midwife Advanced Practice Midwife 6001 W Outer Dr, Suite #320, Detroit, MI 48235-2614 2016-04-28
1255708343 Emily Bigas Dietitian, Registered 6001 W Outer Dr, Detroit, MI 48235-2614 2015-08-25
1407237548 Elise Wiersma Paulk Nurse Practitioner 6001 W Outer Dr, Suite 445, Detroit, MI 48235-2614 2015-06-15
1457754533 Reina Brojan Pearson Nurse Practitioner 6001 W Outer Dr, Suite 114, Detroit, MI 48235-2614 2014-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457976292 Ali Nauman Khan Student in an Organized Health Care Education/Training Program Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 2020-06-08
1629690565 Faseeha Arshad Gondal Student in an Organized Health Care Education/Training Program Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 2020-05-14
1902428832 Muhanad Abou Touk Student in an Organized Health Care Education/Training Program Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 2020-05-14
1780206730 Ahmad Mismar Student in an Organized Health Care Education/Training Program Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 2020-05-13
1023630589 Joao Paulo Fontana Bragagnollo Student in an Organized Health Care Education/Training Program 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 2020-05-07
1881216216 Mohammad Awad Jaber Student in an Organized Health Care Education/Training Program 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 2020-05-07
1366064818 Syeda Busmah Owais Student in an Organized Health Care Education/Training Program 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 2020-05-07
1184245680 Sushmitha Nanja Reddy Student in an Organized Health Care Education/Training Program Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 2020-05-06
1972164796 Jack Phillip Tomen Student in an Organized Health Care Education/Training Program Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 2019-06-24
1346809464 Anusha Bapatla Student in an Organized Health Care Education/Training Program 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 2019-06-12
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093329849 Hey Doc, P.C. Internal Medicine 1431 Washington Blvd Apt 2510, Detroit, MI 48226-1729 2020-08-31
1134744998 Harish Harry Gidda Internal Medicine 22201 Moross Rd, Suite 50, Detroit, MI 48236 2020-06-08
1770107443 Arshan Ali Khan Internal Medicine 22101 Moross Rd, Suite 50, Detroit, MI 48236 2020-05-29
1871053751 Jacob Diskin Internal Medicine 4201 St. Antione, Uhc 9c, Detroit, MI 48201 2019-03-25
1770092272 Daniel Saul Mizrahi Internal Medicine 7633 E Jefferson Ave Ste 250, Detroit, MI 48214-3731 2017-09-27
1700304912 Premier Care Rehabilitation Internal Medicine 10641 W Mcnichols Rd, Detroit, MI 48221-2303 2017-09-07
1427400431 Aryan Shiari Internal Medicine 3990 John R St Rm Room3925, Detroit, MI 48201-2018 2016-07-01
1700236478 Osh-mi Physicians Group PC Internal Medicine 18600 Fenkell St, Detroit, MI 48223-2315 2016-06-14
1184070815 Khalil Ibrahim Bourji Internal Medicine 4201 Saint Antoine St Ste 4h, Detroit, MI 48201 2016-05-12
1124403779 Swetha Edla Internal Medicine 22101 Moross Road Pb Suite 50, Detroit, MI 48236 2015-07-24
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Competitor

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City DETROIT
Zip Code 48235

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Dataset Information

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.

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