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General NPI Number Information
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NPI Number | 1558429282
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Entity Type | Organization
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Legal Business Name | MUHAMMAD Y KHAN MD SC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 06/18/2014
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Provider Practice Location Address
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Address Line | 1218 W KILBOURN AVE STE 409
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City | MILWAUKEE
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State | WI
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Zip | 53233
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Country | US
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Telephone | 414-271-1900
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Fax | 414-271-8087
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Provider Business Mailing Address
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Address Line | 1218 W KILBOURN AVE #409
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City | MILWAUKEE
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State | WI
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Zip | 53233-1330
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Country | US
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Telephone | 414-271-1900
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Fax | 414-271-8087
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Authorized Official
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Title or Position | OWNER
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Name | MUAHMMAD YOUSAF KHAN
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Credential | MD SC
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Telephone | 414-271-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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