GHAZALA MANSOORA KHAN M.D. NPI 1669905295

NPI Information

  • NPI: 1669905295
  • Provider Name: GHAZALA MANSOORA KHAN, M.D.
  • Classification: Internal Medicine - 207RA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5333 MCAULEY DR RM 4001
    YPSILANTI, MI
    ZIP 48197
  • Phone: (734) 712-3980

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NPI Details

Ghazala Mansoora Khan, M.D. is an addiction medicine internal medicine in Ypsilanti, MI. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. Ghazala Mansoora Khan, M.D. NPI is 1669905295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5333 MCAULEY DR RM 4001
YPSILANTI, MI
ZIP 48197-099
Phone: (734) 712-3980

The NPI 1669905295 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/11/2017 and was last updated on 10/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RA0401XInternal MedicineAddiction Medicine4301503141MICHIGANYes
2207R00000XInternal Medicine4301503141MICHIGANNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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