Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 4301096047 | MI |
NPI | 1023230448 |
---|---|
Provider Name | Dr. Saniya Khan |
First Address | Lansing, MI 48912-1897 |
Second Address | Lansing, MI 48912-1897 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 18/12/2012 |