Individual
SHAHEENA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE FL 4, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-0855
Mailing address
9200 W WISCONSIN AVE FL 4, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-0855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-064766
IL
207R00000X
Internal Medicine Physician
67583
WI
208M00000X
Hospitalist Physician
Primary
67583
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932512084
—
WI
Enumeration date
06/06/2014
Last updated
03/22/2023
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