Individual
DR. VIJAY S. KHIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13133 N PORT WASHINGTON RD STE G16, MEQUON, WI 53097-2423
(262) 243-2500
(262) 243-5395
Mailing address
788 N. JEFFERSON STREET, SUITE 300/ATTN. KAAREN BUTZEN, MILWAUKEE, WI 53202-3710
(414) 272-8950
(414) 272-0859
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
62698-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518168749
—
WI
Enumeration date
05/28/2007
Last updated
08/07/2024
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