Individual
DR. IKRAM W KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 550, MILWAUKEE, WI 53215-3696
(414) 385-8780
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
70400
WI
2084N0600X
Clinical Neurophysiology Physician
Primary
70400
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100086419
—
WI
Enumeration date
12/02/2008
Last updated
01/03/2024
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