Individual
IBRAHIM A KHAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1525 N 12TH ST, MILWAUKEE, WI 53205-2591
(414) 966-3030
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036118178
IL
2084P0800X
Psychiatry Physician
41661
TN
2084P0800X
Psychiatry Physician
Primary
54532
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118178
—
IL
05
—
100013549
—
WI
Enumeration date
01/08/2007
Last updated
02/02/2026
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