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NPI Code Detail

MEDICARE: ABDUR R KHAN MD

MEDICARE:   ABDUR R KHAN  MD
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
1207R00000XInternal Medicine Physician35089520OH
2207R00000XInternal Medicine Physician21760WV
3207RI0200XInfectious Disease Physician69966WI

Other Identifiers

General Provider Information

NPI Number : 1780675439
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDUR R KHAN MD
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2901 W KINNICKINNIC RIVER PKWY
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-3677
Country : US
Telephone Number : 414-646-8990
Fax Number : 414-646-8995
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 10/20/2023

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Directions to “ ABDUR R KHAN MD” Practice Location

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