Provider Demographics
NPI:1336353929
Name:KHAN, JAHANZEB (MD)
Entity Type:Individual
Prefix:DR
First Name:JAHANZEB
Middle Name:
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 995
Mailing Address - Street 2:ST. JOSEPH MERCY HOSPITAL
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48106-0995
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-712-4129
Practice Address - Street 1:24 FRANK LLOYD WRIGHT DR
Practice Address - Street 2:IHA HOSPITALIST SERVICE, LOBBY J
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9484
Practice Address - Country:US
Practice Address - Phone:734-747-6766
Practice Address - Fax:734-712-4129
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2010-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301092403208M00000X
WV22796208M00000X
OH35.094429207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine