Abdul G. Durrani Md Sc | |
6127 Green Bay Rd Ste 600 Kenosha WI 53142-2930 | |
(262) 658-3994 | |
(262) 658-0300 |
Full Name | Abdul G. Durrani Md Sc |
---|---|
Speciality | Family Medicine |
Location | 6127 Green Bay Rd Ste 600, Kenosha, Wisconsin |
Authorized Official Name and Position | Abdul G Durrani (PRESIDENT) |
Authorized Official Contact | 2626583994 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Abdul G. Durrani Md Sc 6127 Green Bay Rd Ste 600 Kenosha WI 53142-2930 Ph: (262) 658-3994 | Abdul G. Durrani Md Sc 6127 Green Bay Rd Ste 600 Kenosha WI 53142-2930 Ph: (262) 658-3994 |
NPI Number | 1548467863 |
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Provider Enumeration Date | 06/29/2007 |
Last Update Date | 06/26/2024 |
Medicare PECOS PAC ID | 7113991613 |
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Medicare Enrollment ID | O20040820000989 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548467863 | NPI | - | NPPES |
32086900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Abdul G Durrani |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1306833686 PECOS PAC ID: 2860384807 Enrollment ID: I20040821000100 |
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