Individual
DR. ABDUL GHAFFAR DURRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4824 GREEN BAY ROAD, KENOSHA, WI 53144-1789
(262) 658-3994
(262) 658-0300
Mailing address
4824 GREEN BAY ROAD, KENOSHA, WI 53144-1789
(262) 658-3994
(262) 658-0300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34697
WI
207Q00000X
Family Medicine Physician
34697-020
WI
208M00000X
Hospitalist Physician
Primary
34697-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32086900
—
WI
Enumeration date
10/03/2005
Last updated
08/25/2023
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