Organization
KHAN MEDICAL ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOUHAR KHAN MD (OWNER)
(414) 342-9190
Entity
Organization
Contact information
Practice address
1834 W WISCONSIN AVE, SECOND FLOOR, MILWAUKEE, WI 53233-2125
(414) 342-9190
(414) 342-1413
Mailing address
1834 W WISCONSIN AVE, SECOND FLOOR, MILWAUKEE, WI 53233-2125
(414) 342-9190
(414) 342-1413
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
I20903
WI
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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