Individual
AJAZ M QHAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14555 W NATIONAL AVE, NEW BERLIN, WI 53151-4494
(262) 827-3636
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 827-3636
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
47032-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34651500
—
WI
Enumeration date
11/01/2006
Last updated
05/27/2024
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