Individual
DR. ABDUL Q KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34139-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255315586
—
WI
05
—
32374700
—
WI
01
—
P00263184
RAIL ROAD MEDICARE
—
Enumeration date
11/30/2005
Last updated
12/23/2021
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