Individual
MOUHAMMED R KABBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, SUITE 630, MILWAUKEE, WI 53215-3669
(414) 385-1922
Mailing address
2801 W KINNICKINNIC RIVER PKWY, SUITE 630, MILWAUKEE, WI 53215-3669
(414) 385-1922
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2004007956
MO
2084N0400X
Neurology Physician
Primary
51924
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191199
BCBS
—
05
—
208424119
—
MO
05
—
35331100
—
WI
01
—
671651
HEALTHLINK
—
01
—
P00257160
RAILROAD MEDICARE
—
Enumeration date
06/16/2006
Last updated
12/02/2021
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