Individual
DR. ABDUL MATEEN KHAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 454-6574
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2251
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
52429-20
WI
208D00000X
General Practice Physician
52429
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003528
—
WI
Enumeration date
07/30/2007
Last updated
07/02/2024
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