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Ijaz Mohammad Khan, MD
Specialist in Milwaukee, Wisconsin
NPI 1952434011

Ijaz Mohammad Khan is a Specialist based in Milwaukee, WI. Ijaz Mohammad Khan practices in Milwaukee, WI and has the professional credentials of MD. The NPI Number for Ijaz Mohammad Khan is 1952434011 and holds a License No. 34065-020 (Wisconsin).

The current practice location address for Ijaz Mohammad Khan is 6026 W Lisbon Ave, Milwaukee, WI and can be reached out via phone at 414-334-9715.

Location: 6026 W Lisbon Ave, Milwaukee, WI, 53215-3826
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952434011
Provider Name
Ijaz Mohammad Khan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6026 W Lisbon Ave, Milwaukee, WI, 53215-3826
Phone Number
414-334-9715
Fax Number
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32151400 05 WI
institution
Provider Business Practice Location Address Details
Address
6026 W Lisbon Ave
City
Milwaukee
State
Wisconsin
Zip
53210-2114
Phone Number
414-334-9715
Fax Number
person
Provider Business Mailing Address Details
Address
6026 W Lisbon Ave
City
Milwaukee
State
Wisconsin
Zip
53210-2114
Phone Number
414-334-9715
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
34065-020 (Wisconsin)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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