Khan, Mohammad Qasim

Khan, Mohammad Qasim is an individual health care provider with primary practice located at 5434 W Capitol Dr Unit 3, Milwaukee WI 53216-2298. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khan, Mohammad Qasim can be contacted via phone (414) 217-1229.

Contact Information

Primary practice address
5434 W Capitol Dr Unit 3 Milwaukee WI 53216-2298
Phone: (414) 217-1229
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35090 Wisconsin

Profile Details

NPI number 1104892868
LBN Legal business name Khan, Mohammad Qasim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Feb 2nd, 2016 - 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 1104892868 NPPES
Wisconsin MEDICAID 32112700

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