Khan, Tahir A
Khan, Tahir A is an sole proprietor health care provider with primary practice located at 6001 W Center St Ste 108 , Milwaukee WI 53210-2154. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Khan, Tahir A can be contacted via phone (414) 808-2911.Contact Information
Primary practice address
6001 W Center St Ste 108
Milwaukee WI 53210-2154
Phone: (414) 808-2911
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 1049-25 | Wisconsin |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1049-25 | Wisconsin |
Profile Details
NPI number | 1073880936 |
---|---|
LBN Legal business name | Khan, Tahir A |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 21st, 2011 |
Last updated | Jul 21st, 2022 - about 2 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 | 1073880936 | NPPES |
Wisconsin | Other | 1049-25 | WI LICENSE |
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