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Individual

NORAH KHANGURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
39670
IA
207W00000X
Ophthalmology Physician
Primary
61175
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100032496
WI
Enumeration date
12/07/2009
Last updated
10/16/2023
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