Healthcare Provider Details

I. General information

NPI: 1225875917
Provider Name (Legal Business Name): ANUSHA KHAN MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2024
Last Update Date: 04/05/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27450 SCHOENHERR RD STE 400
WARREN MI
48088-6684
US

IV. Provider business mailing address

27450 SCHOENHERR RD STE 400
WARREN MI
48088-6684
US

V. Phone/Fax

Practice location:
  • Phone: 586-582-7550
  • Fax: 586-582-7515
Mailing address:
  • Phone: 914-484-8257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174V00000X
TaxonomyClinical Ethicist
License Number
License Number State
# 2
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: