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MASHAL IMTIAZ KHAN
NPI 1649020124
Student in an Organized Health Care Education/Training Program in Ypsilanti, MI

Active since March 26, 2024PECOS Enrolled
5333 MCAULEY DRIVE, SUITE 4001, YPSILANTI, MI 48197(734) 712-3971 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mashal Imtiaz Khan NPPES

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

MASHAL IMTIAZ KHAN (NPI 1649020124) is an individual student in an organized health care education/training program in Ypsilanti, Michigan and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649020124
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMASHAL IMTIAZ KHAN
Location Address5333 MCAULEY DRIVE, SUITE 4001Ypsilanti, MI 48197-8633
Mailing Address147 Raymond RoadAncaster, ONTARIO L9K0G9
Phone(734) 712-3971
Sole ProprietorNo
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1649020124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5333 MCAULEY DRIVE, SUITE 4001, Ypsilanti, MI 48197
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mashal Imtiaz Khan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

DR. KASHYAP BABUBHAI PATEL M.D.
Internal Medicine
5333 MCAULEY DRIVE, SUITE 4001, ACADEMIC INTERNAL MEDICINE
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
MISS DAMILOLA MAUREEN OLOGBE M.D
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DRIVE, SUITE 4001, ACADEMIC INTERNAL MEDICINE CLINIC
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
JEFFREY AFRIFA-YAMOAH M.D
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DRIVE, SUITE 4001, ACADEMIC INTERNAL MEDICINE CLINIC
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
ANNA SEA HOLCOMB
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DRIVE, SUITE 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
XIAOHAN ZHANG
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DRIVE, SUITE 4001, ACADEMIC INTERNAL MEDICINE CLINIC
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
ROBERT ELLIOTT D.O.
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DRIVE, SUITE 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980

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 Mashal Khan's NPI number?

The NPI number for Mashal Khan is 1649020124. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Mashal Khan located?

Mashal Khan practices at 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197. The listed phone number is (734) 712-3971.

What is Mashal Khan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mashal Khan enrolled in Medicare?

Yes. Mashal Khan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mashal Khan was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.