Khazi, Abdul Mateen

Khazi, Abdul Mateen is an individual health care provider with primary practice located at 1220 Dewey Ave , Wauwatosa WI 53213-2504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Khazi, Abdul Mateen can be contacted via phone (414) 454-6574.

Contact Information

Primary practice address
1220 Dewey Ave Wauwatosa WI 53213-2504
Phone: (414) 454-6574
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 52429-20 Wisconsin
Allopathic & Osteopathic Physicians / General Practice 208D00000X 52429 Wisconsin

Profile Details

NPI number 1023208592
LBN Legal business name Khazi, Abdul Mateen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Jul 2nd, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023208592 NPPES
Wisconsin MEDICAID 100003528

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