Individual
DR. AHMAD KHAYAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-4690
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
42686-20
WI
207RP1001X
Pulmonary Disease Physician
4301071052
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34073600
—
WI
Enumeration date
08/23/2006
Last updated
11/10/2023
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