Provider Demographics
NPI:1942682471
Name:KHAN, AFSHAN (DO)
Entity Type:Individual
Prefix:
First Name:AFSHAN
Middle Name:
Last Name:KHAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 E 8 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48091-2402
Mailing Address - Country:US
Mailing Address - Phone:586-840-1333
Mailing Address - Fax:586-840-1377
Practice Address - Street 1:1921 E 8 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-2402
Practice Address - Country:US
Practice Address - Phone:586-840-1333
Practice Address - Fax:586-840-1377
Is Sole Proprietor?:No
Enumeration Date:2015-06-20
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A18653207R00000X
MI5101027000207R00000X
IN02005403A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine