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MUKHTAR A KHAN MD,FACC,PC
NPI 1174625214
Internal Medicine - Cardiovascular Disease in Roseville, MI

Active since September 01, 2006
25779 KELLY RD, SUITE C, ROSEVILLE, MI 48066(586) 774-0700(586) 774-9841 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mukhtar A Khan Md,facc,pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUKHTAR A KHAN MD,FACC,PC (NPI 1174625214) is a healthcare organization registered as a cardiovascular disease in Roseville, Michigan and active in the NPI registry since September 2006. The organization lists Mukhtar Ahmad Khan, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1174625214
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameMUKHTAR A KHAN MD,FACC,PC
Location Address25779 KELLY RD, SUITE CRoseville, MI 48066-4973
Mailing Address25779 Kelly Rd, Suite CRoseville, MI 48066-4973 · (586) 774-0700 · Fax (586) 774-9841
Phone(586) 774-0700
Fax(586) 774-9841
Organization SubpartNo
Authorized OfficialMukhtar Ahmad KhanOwner/physician · (586) 774-0700
Enumeration DateSeptember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174625214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MI · MK044345
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
25779 KELLY RD, Roseville, MI 48066
Open in Google Maps ↗

Other Identifiers 1

Medicaid2898009MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BEVERLY ANN TOWNER NP
Nurse Practitioner (Adult Health)
25779 KELLY RD, SUITE C
ROSEVILLE, MI 48066
Macomb County (586) 774-0700
DANIELLE YIZZE
Physician Assistant
25779 KELLY RD
ROSEVILLE, MI 48066
Macomb County (586) 634-2533
MUKHTAR AHMAD KHAN MD
Internal Medicine (Cardiovascular Disease)
25779 KELLY RD, SUITE C
ROSEVILLE, MI 48066
Macomb County (586) 774-0700
ALOK SHUKLA ENTERPRISES PC
Internal Medicine
25779 KELLY RD
ROSEVILLE, MI 48066
Macomb County (586) 777-7772
ALOK SHUKLA M.D
Internal Medicine
25779 KELLY RD
ROSEVILLE, MI 48066
Macomb County (586) 777-7772
HEART RHYTHM AND PACEMAKER SPECIALIST PLLC
Internal Medicine (Clinical Cardiac Electrophysiology)
25779 KELLY RD
ROSEVILLE, MI 48066
Macomb County (586) 777-7772
ASSOCIATES IN HUMANISTIC PSYCHOLOGY
Psychologist
25779 KELLY RD
ROSEVILLE, MI 48066
Macomb County (586) 774-7987

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mukhtar A Khan Md,facc,pc's NPI number?

The NPI number for Mukhtar A Khan Md,facc,pc is 1174625214. It was assigned to this organization in the NPPES registry on September 1, 2006.

Where is Mukhtar A Khan Md,facc,pc located?

Mukhtar A Khan Md,facc,pc is located at 25779 Kelly Rd Suite C, Roseville, MI 48066. The listed phone number is (586) 774-0700.

What is Mukhtar A Khan Md,facc,pc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Mukhtar A Khan Md,facc,pc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.