Mukhtar A Khan (NPI# 1306948435, PAC ID# 0547295966) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1306948435 |
| PAC ID by PECOS | 0547295966 |
| Professional Enrollment ID | I20051004000658 |
| Full Name | Mukhtar A Khan |
| Address |
25779 Kelly Rd C Roseville MI 48066-4973 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1972 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| 230269 | BEAUMONT HOSPITAL, TROY |
| Address | Phone | Organization |
|---|---|---|
| 25779 Kelly Rd C, Roseville, MI 48066-4973 |
| Street Address |
25779 KELLY RD C |
| City | ROSEVILLE |
| State | MI |
| Zip | 48066-4973 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Stern | Psychologist, Clinical | 18245 Ten Mile Rd, Suite 140, Roseville, MI 48066 | |
| Gulshan Chandna | Occupational Therapy | Theramax Rehab Inc | 18790 E 13 Mile Rd G, Roseville, MI 48066-1383 |
| Ruchika Chandna | Occupational Therapy | Theramax Rehab Inc | 18790 E 13 Mile Rd G, Roseville, MI 48066-1383 |
| Christie Ann Schunemann | Nurse Practitioner | Mclaren Macomb | 30550 Utica Rd, Roseville, MI 48066-1528 |
| Anil Singh | Internal Medicine | Mclaren Macomb | 30550 Utica Rd, Roseville, MI 48066-1528 |
| Cari L Mcclellan | Physical Therapy | Farmington Physical Therapy Inc | 30785 Gratiot Ave, Roseville, MI 48066-1712 |
| Ambika Kunnath Puliyakote | Physical Therapy | Farmington Physical Therapy Inc | 30785 Gratiot Ave, Roseville, MI 48066-1712 |
| Lisa S Lee | Clinical Social Worker | Open Heart Community Care Services Inc | 28491 Utica Rd, Roseville, MI 48066-2593 |
| Cora Coleman | Clinical Social Worker | Open Heart Community Care Services Inc | 28491 Utica Rd, Roseville, MI 48066-2593 |
| Jennifer D Noricks | Clinical Social Worker | 28491 Utica Rd, Roseville, MI 48066-2593 | |
| Find all physicians in zip 48066 | |||
| City | ROSEVILLE |
| Zip Code | 48066 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | ROSEVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Mukhtar A Khan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.