Individual
DR. MUHAMMAD S KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142
(262) 948-7010
(262) 948-7328
Mailing address
3303 14TH ST, KENOSHA, WI 53144-3001
(262) 948-7010
(262) 553-9108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32739
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31800200
—
WI
Enumeration date
08/23/2006
Last updated
07/24/2024
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