Individual
SAMREEN Z KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5433 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1382
(414) 277-8900
(414) 277-8939
Mailing address
5433 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1382
(414) 277-8900
(414) 277-8939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
61939-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467728667
—
WI
Enumeration date
04/02/2012
Last updated
07/15/2016
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