Individual
DR. SANY T KHABBAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4700
(920) 288-4707
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036-083867
IL
2084N0400X
Neurology Physician
Primary
47412
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036083867 2
—
IL
05
—
34593500
—
IL
05
—
34593500
—
WI
Enumeration date
12/05/2006
Last updated
09/29/2025
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