Dr Abdul Mateen Khazi, MD | |
1220 Dewey Ave, Wauwatosa, WI 53213-2504 | |
(414) 454-6574 | |
Not Available |
Full Name | Dr Abdul Mateen Khazi |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1220 Dewey Ave, Wauwatosa, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023208592 | NPI | - | NPPES |
100003528 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 52429-20 (Wisconsin) | Primary |
208D00000X | General Practice | 52429 (Wisconsin) | Secondary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Mental Health Emergency Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255099941 PECOS PAC ID: 3274916044 Enrollment ID: O20220922000219 |
Mailing Address | Practice Location Address |
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Dr Abdul Mateen Khazi, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2251 | Dr Abdul Mateen Khazi, MD 1220 Dewey Ave, Wauwatosa, WI 53213-2504 Ph: (414) 454-6574 |
Bernadette Demuri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2600 N Mayfair Rd, Suite #305, Wauwatosa, WI 53226 Phone: 414-257-0233 Fax: 414-257-3588 | |
Dr. Upton Thomas, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6754 Fax: 414-454-6789 | |
Dr. Ashok R Bedi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6610 Fax: 414-454-6644 | |
Michael Fuller Mcbride, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6610 Fax: 414-454-6644 | |
Dr. Karole Marie Kuslak, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6600 | |
Dr. Niketa Desai, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6777 |