Doctor Name: | DR. SHAHID ALI KHAN |
NPI Number: | 1568609246 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 2301009421 |
Business Practice Address: | 27850 Gratiot Ave Roseville, MI - 480664803 |
Business Phone Number: | 5867725876 |
Business Fax Number: | 5867721122 |
Mailing Address: | 27850 Gratiot Ave, ROSEVILLE |
State: | MI |
Postal Code: | 480664803 |
Phone Number: | 5867725876 |
Fax Number: | 5867721122 |
NPI Enumeration Date: | 01/16/2009 |
NPI Last Update Date: | 06/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2301009421 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |