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Individual

MOHSIN KARIM KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9204
(262) 329-1000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301094357
MI
207RC0000X
Cardiovascular Disease Physician
65142
WI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
65142
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100064014
WI
Enumeration date
08/21/2009
Last updated
07/11/2024
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