Individual
DR. TAHIR A KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6001 W CENTER ST STE 108, MILWAUKEE, WI 53210-2154
(414) 808-2911
Mailing address
PO BOX 370792, MILWAUKEE, WI 53237-1892
(414) 808-2911
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1049-25
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
1049-25
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1049-25
WI LICENSE
WI
Enumeration date
11/21/2011
Last updated
07/21/2022
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