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Contact Information

MUMTAZ J KHAN, MD
HENRY FORD HEALTH SYSTEM
15401 EAST JEFFERSON
GROSSE POINTE PARK, MI48230
 Phone: 313-824-4800
 Fax: 313-824-7080
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MUMTAZ J KHAN · (Male)

NPI Number 1902973985
Status Active
Credentials MD
Entity Individual
Enumeration date 11/29/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301065423
  • MI Medicaid 434035010
  • Other 700H262260 BLUE CROSS-BLUE CROSS
  • Other MK065423 CHAMPUS-CHAMPUS
  • Other MK065423 COMMERCIAL-COMMERCIAL NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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