Individual
DR. KHADIEJA MIRZA KHALID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MB BCH BAO
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6444
(414) 805-6702
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6444
(414) 805-6702
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
70032
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285977330
—
WI
Enumeration date
03/27/2013
Last updated
10/16/2018
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