Healthcare Provider Details

I. General information

NPI: 1194925032
Provider Name (Legal Business Name): ZARRISH SAEED KHAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3156 FALCON CT
ANN ARBOR MI
48105-9207
US

IV. Provider business mailing address

3156 FALCON CT
ANN ARBOR MI
48105-9207
US

V. Phone/Fax

Practice location:
  • Phone: 734-408-1025
  • Fax:
Mailing address:
  • Phone: 734-408-1025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number4301507444
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number101852
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number4301507444
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number4301507444
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: