Individual
KHALID GHAZI AL ABDUL RAHEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S
Contact information
Practice address
4025 N 92ND ST, WAUWATOSA, WI 53222-1613
(414) 358-5431
Mailing address
9993 W NORTH AVE APT 333, WAUWATOSA, WI 53226-2510
(414) 581-5626
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
61314
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100034036
—
WI
Enumeration date
03/24/2012
Last updated
12/01/2021
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