MEDICARE: DRS KHAN & ALMAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639190671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS KHAN & ALMAS

Provider Business Mailing Address
First Line	:	4555 W SCHROEDER DR
Second Line	:	SUITE 170
City	:	MILWAUKEE
State	:	WI
Zip	:	53223-1475
Country	:	US
Telephone Number	:	414-365-3210
Fax Number	:	414-365-3225

Provider Business Practice Location Address
First Line	:	5434 W CAPITOL DR
Second Line	:	SUITE#3
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2298
Country	:	US
Telephone Number	:	414-875-0505
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	M Q KHAN
Credential	:	MD
Telephone Number	:	414-875-0505

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	08/27/2010

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Directions to “DRS KHAN & ALMAS ” Practice Location

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