Saira M A Khan, MD | |
8901 W Lincoln Ave, West Allis, WI 53227-2409 | |
(414) 328-6000 | |
Not Available |
Full Name | Saira M A Khan |
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Gender | Female |
Speciality | Preventive Medicine - Undersea And Hyperbaric Medicine |
Location | 8901 W Lincoln Ave, West Allis, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780892927 | NPI | - | NPPES |
100013195 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 53039-020 (Wisconsin) | Secondary |
2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 53039 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
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 |
Mailing Address | Practice Location Address |
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Saira M A Khan, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: () - | Saira M A Khan, MD 8901 W Lincoln Ave, West Allis, WI 53227-2409 Ph: (414) 328-6000 |
Itamar Yaakov Gnatt, M.D Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 | |
Dr. Dennis E Schultz, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 555 S 108th St, West Allis, WI 53214 Phone: 414-566-6400 Fax: 414-566-3866 |