Individual
DR. SARDAR KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N MAYFAIR RD, WAUWATOSA, WI 53226-3436
(414) 479-2300
(414) 778-4332
Mailing address
PO BOX 735044, CHICAGO, IL 60673
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3359-320
WI
207Q00000X
Family Medicine Physician
S8589
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100249747
—
WI
05
—
1053840454
—
WI
05
—
416844501
—
TX
Enumeration date
06/08/2017
Last updated
10/29/2024
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