M JAMIL A KHAN MD PC NPI 1770760506

NPI Information

  • NPI: 1770760506
  • Provider Name: M JAMIL A KHAN MD PC
  • Classification: Allergy & Immunology - 207K00000X
  • Entity Type: Organization
  • Address: 1206 RICHARDSON ST
    PORT HURON, MI
    ZIP 48060
  • Phone: (810) 984-4340

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NPI Details

M JAMIL A KHAN MD PC is an allergy immunology in Port Huron, MI. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. M JAMIL A KHAN MD PC NPI is 1770760506. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1206 RICHARDSON ST
PORT HURON, MI
ZIP 48060-549
Phone: (810) 984-4340
Fax: (810) 984-2303

The provider's authorized official is Mohammed Jamil Ahmed Khan .
The authorized official title is Owner and has the following contact phone number (810) 984-4340.

The enumeration date for this NPI number is 1/23/2008 and was last updated on 1/23/2008.

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
1207K00000XAllergy & Immunology4301031939MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12108970MEDICAIDMICHIGAN
2E38084MEDICARE UPIN
30740729MEDICARE PIN

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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