Wajahat A Khan
Medical Oncology
19229 Mack Ave Ste 24
Grosse Pointe Woods
, Michigan 48236-2857
Wajahat A Khan
Medical Oncology
19229 Mack Ave Ste 24
Grosse Pointe Woods
, Michigan 48236-2857
(313) 884-5521
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Wajahat A Khan
- 19229 Mack Ave Ste 24
- Grosse Pointe Woods, MI
- Zip : 48236-2857
- Fax : (313) 884-5521
- Phone : (313) 884-5522
Second Address
- Wajahat A Khan
- 19229 Mack Ave Ste 24
- Grosse Pointe Woods, MI
- Zip : 48236-2857
- Fax : (313) 884-5521
- Phone : (313) 884-5522
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | WK066812 | MI |
National Provider Identifier
| NPI | 1144234782 |
|---|---|
| Provider Name | Wajahat A Khan |
| First Address | Grosse Pointe Woods, MI 48236-2857 |
| Second Address | Grosse Pointe Woods, MI 48236-2857 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2006 |
| Last Update Date | 26/08/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0824295 | BCN (01) | MI |
| 4622690 | (05) | MI |
| 4622804 | (05) | MI |
| G99919 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.