Moniruzzaman Khan, MD
Moniruzzaman Khan is a General Practice Physician provider (General Practice) practicing in Warren, MI, registered in the NPPES registry with NPI 1477592905 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1477592905 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Moniruzzaman Khan |
| Credential | MD |
| Sex | Male |
| Practice address | Warren, MI, 48091 |
| Phone | 5862000611 |
| Fax | 5863817055 |
| Enumeration date | 2006-06-06 |
| Last updated in NPPES | 2020-10-13 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | Primary | MK057394 | MI |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0634011 | Other | — | BCBS |
| G97370 | Other | — | HEALTH ALLIANCE PLAN |
| 1215B | Other | — | CAPE HEALTH PLAN |
| 15486 | Other | — | HEALTH PLAN OF MICH |
| 414952410 | Medicaid | MI | — |
| 120911 | Other | — | CARE CHOICE |
| 6251 | Other | — | TOTAL HEALTH |
| P105053 | Other | — | BCN |
| C7543 | Other | — | MCARE |
Copy-ready billing details
Provider: Moniruzzaman Khan, MD NPI: 1477592905 Taxonomy: 208D00000X (General Practice Physician) Address: Warren, MI, 48091
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1376366815 | Sonia Soto | Individual | Nurse Practitioner | Warren, MI |
Verify this record
Cross-check NPI 1477592905 against the authoritative CMS record: view Moniruzzaman Khan on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-10-13.