DR. ISMATH KHAN (MD) – Psychiatry Physician, NPI 1083624134

Psychiatry Physician

DR. ISMATH KHAN (MD) is a healthcare provider. based in Redford, Michigan. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 4301039139 (MI). The NPI Number for DR. ISMATH KHAN (MD) is 1083624134

Main info

Female

55 Years Of Experience

Accepts Medicare Assignment

Name

DR. ISMATH KHAN (MD)

NPI

1083624134

Phone

(313) 450-4500

Address

9315 TELEGRAPH

Enumeration Date

9 August 2006

Last Update Date

7 March 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3134504500

Graduation Year

1971 (55 years ago)

PAC ID

9335135722

Group Practice PAC ID

7113816612

Professional Enrollment ID

I20040421001597

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ISMATH KHAN (MD)

Telegraph Road, Redford Township, Wayne County, Michigan, 48239, United States
REDFORD, MI 48239
Phone: (313) 450-4500
Fax: (313) 450-4500
Type: Location
West Long Lake Road, Bloomfield Hills, Oakland County, Michigan, 48304, United States
BLOOMFIELD HILLS, MI 48302
Phone: (248) 851-0643
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48239)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7113816612View full group profile

Name	Specialty	State
MONET ROBINSON	Mental Health Counselor	MI
SARAH BROOKINS (LPC)	Mental Health Counselor	MI
MS. CHERYL LYNN GREER (LMSW)	-	MI
DR. KELLY SUSEWITZ SHAKOOR (FNP-BC)	-	MI
NATHAN ALLEN JOHNSON (FNP-BC)	Nurse Practitioner	MI
CHARITY ANNE LUGAJ (LLPC)	Mental Health Counselor	MI
DR. MOHAMED SIDDIQUE (MD)	-	MI
ALYSSA DOMENICA BAKER (PA-C)	Physician Assistant	MI
STEPHANY LATHAM (LPC)	Mental Health Counselor	MI
MRS. LISA MARIE STAWARZ (LLMSW)	-	MI