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

Mahnoor Khan, DO

Individual provider Nephrology Physician · NPI 1629439740

Mahnoor Khan, DO is an Internal Medicine in Detroit, Michigan. Qualified in 2016, 10 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
10
Licensed in
FL, MI
In the registry since
2016
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

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (800) 653-6568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 — (904) 953-2000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5101026515 (MI)
Nephrology Physician Taxonomy 207RN0300X · Licence OS16244 (FL)
Nephrology Physician Taxonomy 207RN0300X · Licence 5101026515 (MI)

Record details

NPI number1629439740
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 16, 2016
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesNEPHROLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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