Khan, Sardar

Khan, Sardar is an individual health care provider with primary practice located at 1055 N Mayfair Rd , Wauwatosa WI 53226-3436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Khan, Sardar can be contacted via phone (414) 479-2300.

Contact Information

Primary practice address
1055 N Mayfair Rd Wauwatosa WI 53226-3436
Phone: (414) 479-2300
Fax: (414) 778-4332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X S8589 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3359-320 Wisconsin

Profile Details

NPI number 1053840454
LBN Legal business name Khan, Sardar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2017
Last updated Oct 29th, 2024 - about 2 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 1053840454 NPPES
Wisconsin MEDICAID 1053840454
Wisconsin MEDICAID 416844501
Wisconsin MEDICAID 100249747

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