Individual
IMAD KATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
721 AMERICAN AVE, SUITE 410, WAUKESHA, WI 53188-5071
(262) 521-2101
Mailing address
721 AMERICAN AVE, SUITE 410, WAUKESHA, WI 53188-5071
(262) 521-2101
(262) 521-1482
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
27366-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31454400
—
WI
Enumeration date
05/27/2006
Last updated
04/14/2008
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