Healthcare Provider Details

I. General information

NPI: 1730026642
Provider Name (Legal Business Name): VIRTUMED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G4007 W COURT ST STE B
FLINT MI
48532-3560
US

IV. Provider business mailing address

455 N CITYFRONT PLAZA DR STE 2515
CHICAGO IL
60611-5323
US

V. Phone/Fax

Practice location:
  • Phone: 708-628-2326
  • Fax:
Mailing address:
  • Phone: 708-628-2326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RIZWAN KHAN
Title or Position: OWNER
Credential:
Phone: 312-620-6000