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Individual

ABDUR R KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2901 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3677
(414) 646-8990
(414) 646-8995
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21760
WV
207R00000X
Internal Medicine Physician
35089520
OH
207RI0200X
Infectious Disease Physician
Primary
69966
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100081242
WI
05
2767840
OH
05
3810002265
WV
Enumeration date
11/02/2005
Last updated
10/20/2023
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