Individual
YEHIA A. KHOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1969 W HART RD, BELOIT, WI 53511-2230
(608) 364-5686
(608) 363-5756
Mailing address
1969 W HART RD, BELOIT, WI 53511-2230
(608) 364-5686
(608) 363-5756
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036090712
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
63732-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100043967
—
WI
Enumeration date
10/06/2005
Last updated
03/21/2018
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