Individual
NAZI S KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1511 PARK AVE, COLUMBUS, WI 53925
(920) 623-5226
(920) 623-5252
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31654
WI
207RP1001X
Pulmonary Disease Physician
31654
WI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
31654
WI
Other
Enumeration date
02/28/2006
Last updated
03/10/2021
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