Individual
DR. HADI MOHAMMAD KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 S VANBUREN ST, SUITE 201, GREEN BAY, WI 54301-3534
(920) 433-7488
(920) 433-7439
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
13520
SD
208600000X
Surgery Physician
Primary
64318-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64318-20
STATE LICENSE
WI
Enumeration date
04/07/2008
Last updated
06/16/2025
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