Dr Sardar Khan, MD | |
1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 | |
(414) 479-2300 | |
(414) 778-4332 |
Full Name | Dr Sardar Khan |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1055 N Mayfair Rd, 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 |
---|---|---|---|
1053840454 | NPI | - | NPPES |
1053840454 | Medicaid | WI | |
416844501 | Medicaid | TX | |
100249747 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | S8589 (Texas) | Secondary |
207Q00000X | Family Medicine | 3359-320 (Wisconsin) | Primary |
Entity Name | Kelsey-seybold Medical Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204 |
Mailing Address | Practice Location Address |
---|---|
Dr Sardar Khan, MD Po Box 735044, Chicago, IL 60673 Ph: (800) 326-2250 | Dr Sardar Khan, MD 1055 N Mayfair Rd, Wauwatosa, WI 53226-3436 Ph: (414) 479-2300 |
Cheryl Gupta, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3820 W Bluemound Rd, Suite 125, Wauwatosa, WI 53213 Phone: 414-302-3800 Fax: 414-302-3813 | |
Dr. Priyanka Kalapurayil Gimbel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
Jessica Lautmann Lenaghan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 N Mayfair Rd Fl 2, Wauwatosa, WI 53226 Phone: 414-771-8228 | |
Dr. Nick William Turkal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1155 N Honey Creek Pkwy, Wauwatosa, WI 53213 Phone: 414-615-5900 Fax: 414-615-5927 | |
Dr. Nicole Ballinger, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6600 Fax: 414-454-6766 | |
Daniel Molinaro, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-476-8450 |