Katib, Imad
Katib, Imad is an individual health care provider with primary practice located at 721 American Ave Suite 410, Waukesha WI 53188-5071. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Katib, Imad can be contacted via phone (262) 521-2101.Contact Information
Primary practice address
721 American Ave Suite 410
Waukesha WI 53188-5071
Phone: (262) 521-2101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 27366-020 | Wisconsin |
Profile Details
| NPI number | 1740237601 |
|---|---|
| LBN Legal business name | Katib, Imad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Apr 14th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740237601 | NPPES |
| Wisconsin | MEDICAID | 31454400 |
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