Individual
ABDUL SAMI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9697 SAINT CATHERINES DR, PLEASANT PRAIRIE, WI 53158-2118
(262) 653-5330
Mailing address
FROEDTERT SOUTH, 6308 8TH AVENUE, KENOSHA, WI 53143
(262) 577-8522
(262) 653-5850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01073420A
IN
207RG0100X
Gastroenterology Physician
036117736
IL
207RG0100X
Gastroenterology Physician
Primary
65380-20
WI
Other
Enumeration date
05/21/2007
Last updated
03/04/2024
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