MUKHTAR AHMAD KHAN (NPI# 1306948435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306948435 |
| Entity Type | Individual |
| Full Name | MUKHTAR AHMAD KHAN |
| Credential | MD |
| Practice Address |
25779 Kelly Rd Suite C Roseville MI 48066-4973 |
| Practice Telephone | 5867740700 |
| Practice Fax Number | 5867749841 |
| Mailing Telephone | 5867740700 |
| Mailing Fax Number | 5867749841 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MK044345 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2898009 | 05 | |
| MI | BCN | P41411 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164463410 | Mukhtar I Khan | Internal Medicine | 3229 E Genesee St, Joslin Center, Syracuse, NY 13214-2016 | 2006-06-09 |
| Street Address |
25779 KELLY RD SUITE C |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-4973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598172231 | Heart Rhythm and Pacemaker Specialist Pllc | Internal Medicine | 25779 Kelly Rd, Roseville, MI 48066-4973 | 2014-07-15 |
| 1790084556 | Associates In Humanistic Psychology | Psychologist | 25779 Kelly Rd, Roseville, MI 48066-4973 | 2011-03-19 |
| 1063577872 | Beverly Ann Towner | Nurse Practitioner | 25779 Kelly Rd, Suite C, Roseville, MI 48066-4973 | 2006-12-22 |
| 1437227030 | Alok Shukla Enterprises PC | Internal Medicine | 25779 Kelly Rd, Roseville, MI 48066-4973 | 2006-12-01 |
| 1508948183 | Alok Shukla | Internal Medicine | 25779 Kelly Rd, Roseville, MI 48066-4973 | 2006-10-20 |
| 1174625214 | Mukhtar A Khan Md,facc,pc | Internal Medicine | 25779 Kelly Rd, Suite C, Roseville, MI 48066-4973 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725789 | Norcal Medical Services, Inc | Internal Medicine | 2267 Lava Ridge Ct, Roseville, CA 95661-3062 | 2019-11-25 |
| 1912228743 | Clifford L Weldon M D P L C | Internal Medicine | 30695 Little Mack Ave Ste 500, Roseville, MI 48066-1772 | 2010-06-16 |
| 1811190713 | Reetu Sharma | Internal Medicine | 2 Medical Plaza Drive, 175, Roseville, CA 95661-3049 | 2007-06-07 |
| 1629083407 | Peter Daniel Jurisich | Internal Medicine | 2 Medical Plaza Dr Ste 175, Roseville, CA 95661-3049 | 2006-07-30 |
| 1134144017 | Madjid Mesgarzadeh | Internal Medicine | 25910 Kelly Rd, Suite B, Roseville, MI 48066-4466 | 2006-07-13 |
| 1194714980 | St Clair Cardiovascular Surgeons Plc | Internal Medicine | 25599 Kelly Rd, Ste A, Roseville, MI 48066-4975 | 2005-10-14 |
| 1689676223 | Luis Antonio Pires | Internal Medicine | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 | 2005-08-12 |
| 1336141977 | Narayanan Vikraman | Internal Medicine | 18325 E 10 Mile Rd, Suite 400, Roseville, MI 48066-4990 | 2005-08-12 |
| 1255337689 | Joel C Engel | Internal Medicine | 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066-4988 | 2005-06-21 |
| 1194729053 | Douglas R Moore | Internal Medicine | 25195 Kelly Rd Ste A, Roseville, MI 48066-4909 | 2005-06-09 |
| Find all providers in ROSEVILLE | ||||
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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.