Khan, Hadi Mohammad

Khan, Hadi Mohammad is an individual health care provider with primary practice located at 720 S Vanburen St Suite 201, Green Bay WI 54301-3534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Khan, Hadi Mohammad can be contacted via phone (920) 433-7488.

Contact Information

Primary practice address
720 S Vanburen St Suite 201 Green Bay WI 54301-3534
Phone: (920) 433-7488
Fax: (920) 433-7439
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 64318-20 Wisconsin

Profile Details

NPI number 1265605679
LBN Legal business name Khan, Hadi Mohammad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2008
Last updated Oct 27th, 2015 - about 10 years ago

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 1265605679 NPPES
Wisconsin Other 64318-20 STATE LICENSE

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