Healthcare Provider Details

I. General information

NPI: 1003733874
Provider Name (Legal Business Name): SAGINAW VALLEY GERIATRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 S WASHINGTON AVE STE B
SAGINAW MI
48601-2578
US

IV. Provider business mailing address

912 S WASHINGTON AVE STE B
SAGINAW MI
48601-2578
US

V. Phone/Fax

Practice location:
  • Phone: 989-791-4100
  • Fax: 989-791-4114
Mailing address:
  • Phone: 989-791-4100
  • 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: MUHAMMAD KHAN
Title or Position: OWNER
Credential: MD
Phone: 989-295-4772