| Doctor Name: | MONIRUZZAMAN KHAN |
| NPI Number: | 1477592905 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MK057394 |
| Business Practice Address: | 4185 Highland Rd Waterford, MI - 483282136 |
| Business Phone Number: | 2486488930 |
| Business Fax Number: | 2486488931 |
| Mailing Address: | 4185 Highland Rd, WATERFORD |
| State: | MI |
| Postal Code: | 483282136 |
| Phone Number: | 2486488930 |
| Fax Number: | 2486488931 |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 02/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MK057394 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |