Sidrah Amhed Khan, is a 
Speech-language Pathologist based in Port Edwards, Wisconsin. Sidrah Amhed Khan is licensed to practice in Wisconsin (license number 5104-154) and her current practice location is 
1351 Wisconsin River Dr, Port Edwards, Wisconsin. She can be reached at her office (for appointments etc.) via phone at 
(715) 885-8333.
NPI number for Sidrah Amhed Khan is 1376141473 and her current mailing address is 1425 N 12th Ave Apt 310, Wausau, Wisconsin. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376141473.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Sidrah Amhed Khan | 
|---|
| Gender | Female | 
|---|
| Speciality | Speech-language Pathologist | 
|---|
| Location | 1351 Wisconsin River Dr, Port Edwards, Wisconsin | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1376141473
 - Provider Enumeration Date: 10/12/2020
 - Last Update Date: 10/12/2020
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Sidrah Amhed Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1376141473 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 235Z00000X | Speech-language Pathologist  | 5104-154 (Wisconsin) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sidrah Amhed Khan is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Sidrah Amhed Khan, 1425 N 12th Ave Apt 310, Wausau, WI 54401-2457 Ph: (201) 281-9672 | Sidrah Amhed Khan, 1351 Wisconsin River Dr, Port Edwards, WI 54469-1099 Ph: (715) 885-8333 | 
		
		 
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