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Individual

MEHJABEIN YAGUOOB KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6308 8TH AVENUE, SUITE 108, KENOSHA, WI 53143
(262) 653-5300
(262) 653-5412
Mailing address
6308 8TH AVENUE, SUITE 108, KENOSHA, WI 53143
(262) 653-5300
(262) 653-5412

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
46826
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34551100
WI
01
P00149880
MEDICARE RR
WI
Enumeration date
05/27/2006
Last updated
06/13/2012
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