Khan, Asam

Khan, Asam is an individual health care provider with primary practice located at 5900 S Lake Dr , Cudahy WI 53110-3171. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Khan, Asam can be contacted via phone (414) 689-9000.

Contact Information

Primary practice address
5900 S Lake Dr Cudahy WI 53110-3171
Phone: (414) 689-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 63868-21 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 63868 Wisconsin

Profile Details

NPI number 1104188267
LBN Legal business name Khan, Asam
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2012
Last updated Jul 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104188267 NPPES
Wisconsin MEDICAID 100045955

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