Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Affaan Khan Bangash, DO

Individual provider Diagnostic Radiology Physician · NPI 1063620540

Dr. Affaan Khan Bangash, DO is a Diagnostic Radiology in Mount Clemens, Michigan. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2004, 22 years ago. Practices with Evergreen Radia LLC, a 116-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan, New York and Washington.

Years since qualifying
22
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
MI, NY, WA
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone: (630) 776-3318
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 203 S Western Ave, Tonasket, WA 98855-8803 — (509) 486-2151

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 5101016886 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence OP70048421 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 295654 (NY)

Record details

NPI number1063620540
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 18, 2007
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2004 (22 years in practice)
Group practice Evergreen Radia Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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