Individual
ISNA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
(920) 456-5901
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.141089
OH
207R00000X
Internal Medicine Physician
54931
KY
207R00000X
Internal Medicine Physician
Primary
83901
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100288646
—
WI
Enumeration date
06/29/2018
Last updated
11/05/2024
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