| Doctor Name: | DR. WALAYAT A KHAN |
| NPI Number: | 1497779649 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 4301042910 |
| Business Practice Address: | 1159 E Michigan Ave Ste E Ypsilanti, MI - 481985807 |
| Business Phone Number: | 7345284400 |
| Business Fax Number: | 7344839464 |
| Mailing Address: | 1159 E Michigan Ave, Ste E YPSILANTI |
| State: | MI |
| Postal Code: | 481985807 |
| Phone Number: | 7345284400 |
| Fax Number: | 7344839464 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 02/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301042910 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |