Individual
ABDUL MOIZ KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53710
MN
207RN0300X
Nephrology Physician
53710
MN
207RN0300X
Nephrology Physician
Primary
67521
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Enumeration date
06/19/2008
Last updated
01/10/2023
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