NPI 1235949090
Shyyaan Ali Khan
Practice location
- Address
- 20596 Hall Rd, Clinton Township, MI 48038-5326
- Phone
- (586) 371-6196
- Mailing address
- 11335 Olive St, Warren, MI 48093-6559
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1235949090
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Jan 2025
- Record last updated
- 13 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.