IndividualActive
Abdul Khan, D.M.D.
NPI 1225684160 · Student in an Organized Health Care Education/Training Program · Detroit, MI
Provider details
- NPI number
- 1225684160
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35679 (TX)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 2901602514 (MI)
Student, Health Care
Dental Providers
Practice location
22201 Moross
Professional Building II, Suite 155
Detroit, MI 48236
Phone: (313) 499-4775
Approximate (ZIP-level) locationGet directions
Mailing address
22201 Moross
Detroit, MI 48236
Registry dates
- Enumerated
- 2019-08-15
- Last updated
- 2025-08-06
- Certified
- 2025-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.