DR. SHABANA KHAN


Address: 861 Monroe St, Dearborn, MI 48124-2308
Phone: 3132741800

DR. SHABANA KHAN (NPI# 1770569022) 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) 1770569022
Entity Type Individual
Full Name DR. SHABANA KHAN
Credential M.D.
Practice Address 861 Monroe St
Dearborn
MI 48124-2308
Practice Telephone 3132741800
Practice Fax Number 3132748717
Mailing Telephone 3132741800
Mailing Fax Number 3132748717
Enumeration Date 2005-12-19
Last Update Date 2011-02-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 4301046990 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI CARE-PREFERRED CHOICES 503292 01
MI 1770569022 05
MI BLUE SHIELD 700H222490 01

Other Providers SHABANA KHAN

NPI Name Taxonomy Address Enumeration
1801003504 Shabana Khan Optometrist 8880 State Highway 121, Ste. 141, Mckinney, TX 75070 2007-05-16
1437594769 Shabana Khan Pharmacist 800 Broadview Village Sq, T-2081, Broadview, IL 60155-4887 2013-04-30
1174786180 Shabana Khan Student in an Organized Health Care Education/Training Program 3811 Ohara St, Pittsburgh, PA 15213-2593 2008-07-09

Office Location

Street Address 861 MONROE ST
City DEARBORN
State MI
Zip Code 48124-2308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184615205 Parvez Khan Internal Medicine 861 Monroe St, Dearborn, MI 48124-2308 2005-10-31
1316425424 Jeanne Therese Gugudis Nurse Practitioner 861 Monroe St, Dearborn, MI 48124 2018-07-31
1790297901 Sarah Baban Nurse Practitioner 861 Monroe St, Dearborn, MI 48124-2308 2017-10-27
1164976908 Seija Olivier Nurse Practitioner 861 Monroe St, Dearborn, MI 48124-2308 2016-08-10
1770984015 Suvnir Dulai Nurse Practitioner 861 Monroe St, Dearborn, MI 48124-2308 2014-09-05
1134459662 Parvez Khan Md,pc Clinic/Center 861 Monroe St, Dearborn, MI 48124-2308 2010-01-06
1447584719 Samantha Sue Lang Nurse Practitioner 861 Monroe St, Dearborn, MI 48124-2308 2009-09-19
1770788226 Tabitha Kildani Physician Assistant 861 Monroe St, Dearborn, MI 48124-2308 2007-06-15
1174738231 Yusuf Qamruzzaman Internal Medicine 861 Monroe St, Dearborn, MI 48124-2308 2007-05-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396389524 Pharma A, LLC Pharmacy 23916 Michigan Ave, Dearborn, MI 48124 2019-10-31
1225683725 Aysha Said Behavior Technician 1369 Porter St, Dearborn, MI 48124 2019-08-02
1881257772 Leen Nusairat Internal Medicine Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 2019-04-17
1417413360 Gary C. Veraghen, Dds, PC Dentist 22100 W. Outer Drive, Dearborn, MI 48124 2019-02-15
1982168787 Fnu Asma Manzar Physical Therapist Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 2019-01-25
1639640162 Jernia Lashawn Usher Behavior Technician 1360 Porter St Lower Level, Dearborn, MI 48124 2018-12-10
1710456470 Samar Fouad Hannawi Psychologist 3815 Pelham Street, Suite #13, Dearborn, MI 48124 2018-11-24
1881178747 Sarah Chehab Psychologist 835 Mason St Suite 220b, Dearborn, MI 48124 2018-09-17
1568948289 Ibrahim M Basma Pharmacist 22521 Michigan Avenue, Dearborn, MI 48124 2018-07-16
1669961942 Jacqueline E Domzalski Technician, Other 3231 S. Gulley, Suite E, Dearborn, MI 48124 2018-05-02
Find all providers in zip 48124

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
1689216699 My Clinic Pllc Internal Medicine 4025 Maple St Ste B, Dearborn, MI 48126-3532 2019-10-10
1417502303 Younique Empowerment Services LLC Internal Medicine 1806 N Telegraph Rd, Dearborn, MI 48128-1270 2019-08-07
1659932838 Metro Hospitalist Group Pllc Internal Medicine 3319 Greenfield Rd # 453, Dearborn, MI 48120-1212 2019-06-27
1881257772 Leen Nusairat Internal Medicine Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 2019-04-17
1306313515 A Ahmad Md Plc Internal Medicine 4 Nowlin Ct, Dearborn, MI 48124-3912 2018-10-25
1013423789 Infinity Visiting Physicians Associate Pllc Internal Medicine 5245 Schaefer Rd Ste D, Dearborn, MI 48126-3257 2017-12-18
1245772714 Patient First Care Pllc Internal Medicine 15217 Payne Ct, Dearborn, MI 48126-3030 2016-11-15
1497118244 Ahmad Hijazi Internal Medicine 4825 Westland St, Dearborn, MI 48126-4112 2016-03-30
1922478601 Slim Internal Medicine Pllc Internal Medicine 5260 Schaefer Rd, Dearborn, MI 48126-3228 2015-10-07
1538540323 Sadiq H Rizvi Md PC Internal Medicine 530 N Telegraph Rd, Dearborn, MI 48128-1658 2015-06-17
Find all providers in DEARBORN

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City DEARBORN
Zip Code 48124

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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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