Healthcare Provider Details

I. General information

NPI: 1245425511
Provider Name (Legal Business Name): AAA HEALTH CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2007
Last Update Date: 09/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

571 JOSLYN RD
LAKE ORION MI
48362-2116
US

IV. Provider business mailing address

571 JOSLYN RD
LAKE ORION MI
48362-2116
US

V. Phone/Fax

Practice location:
  • Phone: 248-814-0506
  • Fax: 809-532-7899
Mailing address:
  • Phone: 248-814-0506
  • Fax: 809-532-7899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number0000000
License Number StateMI

VIII. Authorized Official

Name: DR. SHAKIL AHMED KHAN
Title or Position: PRESIDENT
Credential: MD
Phone: 248-814-0506