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NPI Code Detail

MEDICARE: WAJID KHAN MD

MEDICARE: WAJID KHAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician4301065641MI
2208M00000XHospitalist Physician4301065641MI

General Provider Information

NPI Number : 1649208448
Entity Type Code : Individual
Provider Name (Legal Business Name) : WAJID KHAN MD
Provider Business Mailing Address
First Line : 117 W PATERSON ST
Second Line :
City : KALAMAZOO
State : MI
Zip : 49007-2557
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 117 W PATERSON ST
Second Line :
City : KALAMAZOO
State : MI
Zip : 49007-2557
Country : US
Telephone Number : 269-349-2641
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 09/11/2025

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