Individual
AHMAD ZIA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 DURAND AVE STE 600, STURTEVANT, WI 53177-2096
(262) 635-5520
(262) 635-5530
Mailing address
8700 DURAND AVE STE 600, STURTEVANT, WI 53177-2096
(262) 635-5520
(262) 635-5530
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41158-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32554100
—
WI
Enumeration date
10/05/2005
Last updated
03/28/2018
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