Organization Active NPI

Khan Medical Associates SC

  • Specialist
  • Milwaukee, WI
National Provider Identifier
1821265653
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
I20903 Issued in WI
Legal business name
KHAN MEDICAL ASSOCIATES SC
Practice address
1834 W Wisconsin Ave
Second Floor
Milwaukee, WI 53233-2125
Phone
(414) 342-9190
Fax
(414) 342-1413
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gouhar Khan, MD
Title
Owner
Phone
(414) 342-9190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X I20903 WI Primary

Addresses

Primary practice location

1834 W Wisconsin Ave
Second Floor
Milwaukee, WI 53233-2125

Mailing address

1834 W Wisconsin Ave
Second Floor
Milwaukee, WI 53233-2125
Phone (414) 342-9190

National Provider Directory

National Provider Directory

Locations

1834 W Wisconsin Ave
Fl 2
Milwaukee, WI 53233
Phone (414) 342-9190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1821265653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 W WISCONSIN AVE",
            "address_2": "SECOND FLOOR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332125",
            "telephone_number": "414-342-9190",
            "fax_number": "414-342-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 W WISCONSIN AVE",
            "address_2": "SECOND FLOOR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332125",
            "telephone_number": "414-342-9190",
            "fax_number": "414-342-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAN MEDICAL ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "GOUHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-342-9190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "I20903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.