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NPI Code Detail

MEDICARE: DR. MUHAMMAD UMAR KHAN M.D.

MEDICARE:  DR. MUHAMMAD UMAR KHAN  M.D.
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 Physician4301078850MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
9440003563OTHERMIRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10730424OTHERMIBCBSM PIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3700G360210OTHERMIBCBSM
4MK078850OTHERMILICENSE
5381870664OTHERMITAX ID
6381870664125OTHERMICOMMUNITY CHOICE MICHIGAN
70991564OTHERMIHEALTHPLUS OF MICHIGAN
8101464OTHERMIGREAT LAKES HEALTH PLAN
101012415OTHERMIMCLAREN

General Provider Information

NPI Number : 1689771099
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MUHAMMAD UMAR KHAN M.D.
Provider Business Mailing Address
First Line : 801 JOE MANN BLVD STE P-6
Second Line :
City : MIDLAND
State : MI
Zip : 48642-8900
Country : US
Telephone Number : 989-791-2455
Fax Number : 989-791-1392
Provider Business Practice Location Address
First Line : 912 S WASHINGTON AVE STE B
Second Line :
City : SAGINAW
State : MI
Zip : 48601-2578
Country : US
Telephone Number : 989-791-7900
Fax Number : 989-791-4114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 08/23/2022

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Directions to “ DR. MUHAMMAD UMAR KHAN M.D.” Practice Location

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