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

Individual provider General Practice Physician · NPI 1477592905

Moniruzzaman Khan, MD is a Pediatric Medicine in Warren, Michigan. Qualified in 1978, 48 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
48
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4402 E 9 Mile Rd
Warren, MI 48091-2590
Phone: (586) 200-0611
Fax: (586) 381-7055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11402 Joseph Campau St, Hamtramck, MI 48212-3041 — (313) 366-4000

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence MK057394 (MI)

Record details

NPI number1477592905
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 6, 2006
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020
Mailing address4402 E 9 Mile Rd, Warren, MI 48091-2590

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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