Provider Demographics
NPI:1740567734
Name:GHANI, KHURSHID RIDWAN (MD)
Entity Type:Individual
Prefix:DR
First Name:KHURSHID
Middle Name:RIDWAN
Last Name:GHANI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3621 SOUTH STATE STREET
Mailing Address - Street 2:700 KMS PLACE
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108
Mailing Address - Country:US
Mailing Address - Phone:734-936-2047
Mailing Address - Fax:
Practice Address - Street 1:1500 EAST MEDICAL CENTER DRIVE
Practice Address - Street 2:2ND FLOOR TAUBMAN CENTER RECP C
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5330
Practice Address - Country:US
Practice Address - Phone:734-936-7030
Practice Address - Fax:734-647-9885
Is Sole Proprietor?:No
Enumeration Date:2011-11-04
Last Update Date:2013-09-24
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Provider Licenses
StateLicense IDTaxonomies
MI4301098185208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology