Individual
MAQSOOD AHMED KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2424 S 90TH ST, SUITE 306, WEST ALLIS, WI 53227-2455
(414) 328-8750
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
AW3893559
IL
207RG0100X
Gastroenterology Physician
Primary
62273
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100038844
—
WI
Enumeration date
04/04/2007
Last updated
10/31/2023
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