# MUHAMMAD Y KHAN MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558429282
- **Authorized official:** MUAHMMAD YOUSAF KHAN MD SC (OWNER)
- **Authorized official phone:** (414) 271-1900

## Contact information

- **Practice address:** 1218 W KILBOURN AVE, STE 409, MILWAUKEE, WI 53233
- **Practice address phone:** (414) 271-1900
- **Practice address fax:** (414) 271-8087
- **Mailing address:** 1218 W KILBOURN AVE, \#409, MILWAUKEE, WI 53233-1330
- **Mailing address phone:** (414) 271-1900
- **Mailing address fax:** (414) 271-8087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 06/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30887200 | — | WI |