RAZAN KHATTAB (NPI# 1104003300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104003300 |
| Entity Type | Individual |
| Full Name | RAZAN KHATTAB |
| Credential | M.D. |
| Practice Address |
1218 W Kilbourn Ave Ste 124 Milwaukee WI 53233-1330 |
| Practice Telephone | 4142912626 |
| Practice Fax Number | 4142912630 |
| Mailing Telephone | 4142912626 |
| Mailing Fax Number | 4142912630 |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 48985-020 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
1218 W KILBOURN AVE STE 124 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003891250 | Aboud Affi | Internal Medicine | 1218 W Kilbourn Ave, Suite 404, Milwaukee, WI 53233-1330 | 2005-12-09 |
| 1932633724 | Lori L Leidel | Nurse Practitioner | 1218 W Kilbourn Ave, Milwaukee, WI 53233-1330 | 2017-04-18 |
| 1801262746 | Progressive Community Health Centers, Inc. | Family Medicine | 1218 W Kilbourn Ave, Milwaukee, WI 53233-1330 | 2015-08-14 |
| 1316287071 | Maia F Schwartz | Physician Assistant | 1218 W Kilbourn Ave, Suite 301, Milwaukee, WI 53233-1330 | 2013-02-18 |
| 1245532050 | Aurora Health Care Metro, Inc. | Public Health or Welfare | 1218 W Kilbourn Ave, Suite 207, Milwaukee, WI 53233-1330 | 2010-11-30 |
| 1235465832 | Richard R Wesley | Physician Assistant | 1218 W Kilbourn Ave, Suite 301, Milwaukee, WI 53233-1330 | 2009-11-02 |
| 1619202546 | Aurora Health Care Wic | Public Health or Welfare | 1218 W Kilbourn Ave, Suite 207, Milwaukee, WI 53233-1330 | 2009-10-09 |
| 1215167523 | Marvin | Surgery | 1218 W Kilbourn Ave, Suite-401, Milwaukee, WI 53233-1330 | 2009-07-21 |
| 1073754776 | Elisabeth Catherine Biggs | Physician Assistant | 1218 W Kilbourn Ave, Suite 511, Milwaukee, WI 53233-1330 | 2009-03-10 |
| 1306013834 | Patrick Walter Jost | Orthopaedic Surgery | 1218 W Kilbourn Ave, Suite 301, Milwaukee, WI 53233-1330 | 2008-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639617665 | Edward Min Chi | Internal Medicine | 2320 N Lake Dr Ste 3603, Milwaukee, WI 53211-4507 | 2017-02-09 |
| 1750743159 | Andrew Charles Rose | Internal Medicine | 999 N 92nd St Ste 730, Milwaukee, WI 53226-4875 | 2016-03-24 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1376955492 | Ashish Chaddha | Internal Medicine | 900 North 92nd Street, Milwaukee, WI 53226 | 2014-05-22 |
| 1518305671 | Aishah Aslam | Internal Medicine | 3070 N 51st St Ste 106, Milwaukee, WI 53210-1661 | 2013-06-11 |
| 1578822318 | Joel S Weiner | Internal Medicine | 720 E Wisconsin Ave, 2w440, Milwaukee, WI 53202-4703 | 2012-05-14 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1467731570 | Valena Grbic | Internal Medicine | 2311 N Prospect Avenue, Milwaukee, WI 53211 | 2011-08-06 |
| 1629396965 | Catherine A Kim | Internal Medicine | 3003 W Good Hope Rd Bldg 1642nd, Milwaukee, WI 53209-2042 | 2010-05-11 |
| 1730402892 | Robert Anthony Kebbekus | Internal Medicine | 8200 Warren Ave, Milwaukee, WI 53213-2124 | 2010-03-03 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.