Healthcare Provider Details

I. General information

NPI: 1942146576
Provider Name (Legal Business Name): MOHAMMED ASER KHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6245 INKSTER RD
GARDEN CITY MI
48135-4001
US

IV. Provider business mailing address

6432 N CAMPBELL AVE APT 1
CHICAGO IL
60645-5314
US

V. Phone/Fax

Practice location:
  • Phone: 773-977-6137
  • Fax:
Mailing address:
  • Phone: 773-977-6137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: