ABDUL SAMI KHAN (NPI# 1295944163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295944163 |
| Entity Type | Individual |
| Full Name | ABDUL SAMI KHAN |
| Credential | MD |
| Practice Address |
146 E Geneva Sq Lake Geneva WI 53147-9694 |
| Practice Telephone | 2622495000 |
| Practice Fax Number | 2622497126 |
| Mailing Telephone | 2622495000 |
| Mailing Fax Number | 2622497126 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2016-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 01073420A | IN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036-117736 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
65380 | WI | Allopathic & Osteopathic Physicians |
| N | 207RI0008X |
Internal Medicine Specialization: Hepatology |
MD201752 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1176508 | 05 | |
| LA | MEDICARE | 4N2547061 | 01 |
| WI | 1295944163 | 05 | |
| IN | 201203720 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275160590 | Abdul Qayyum Khan | Driver | 850 Sultana Dr, Tracy, CA 95376-4874 | 2020-03-25 |
| 1144722794 | Abdul Jabbar Khan | Dentist | 50 Judson St, Malden, MA 02148-7023 | 2018-02-28 |
| 1356658116 | Abdul Majid Khan | Psychiatry & Neurology | 9270 Siegen Ln Bldg 402, Baton Rouge, LA 70810-0933 | 2010-08-31 |
| 1902123995 | Abdul Mannan Khan | Internal Medicine | 15813 Paul Vega Md Dr Ste 300a, Hammond, LA 70403-1431 | 2010-04-29 |
| 1386881357 | Abdul Ghani Khan | Pediatrics | 1133 Chatsworth Place Dr, Town and Country, MO 63017-8419 | 2009-01-13 |
| 1912040890 | Abdul Hameed Khan | Dentist | 25 Dove St, Albany, NY 12210-1301 | 2007-02-14 |
| 1861557266 | Abdul R. Khan I | Family Medicine | 1408 Topping Rd, Saint Louis, MO 63131-1423 | 2006-12-26 |
| 1073680393 | Abdul Rahim Khan | Internal Medicine | 285 Anton Dr, Bridgeport, CT 06606-1748 | 2006-11-30 |
| 1720164700 | Abdul Aleem Khan | Psychiatry & Neurology | 12345 Telegraph Rd Ste 9, Taylor, MI 48180-6860 | 2006-10-31 |
| 1932120797 | Abdul A Khan | Internal Medicine | 275 Victoria St, Suite 1e, Costa Mesa, CA 92627-1906 | 2006-07-21 |
| Street Address |
146 E GENEVA SQ |
| City | LAKE GENEVA |
| State | WI |
| Zip Code | 53147-9694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356340483 | Catherine Redding Davis | Social Worker | 146 E Geneva Sq, Aurora Health Center, Lake Geneva, WI 53147-9694 | 2005-07-20 |
| 1588219679 | Shawn M Stemper | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2019-08-06 |
| 1396253571 | Amar Y. Patel | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2018-01-22 |
| 1336686211 | Ashley L Vos | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2017-01-30 |
| 1487199402 | Brenda Brauer | Registered Nurse | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2016-12-29 |
| 1679017925 | Christina L. Clancy | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2016-12-06 |
| 1568819845 | Javier Gallegos | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2016-05-17 |
| 1609242759 | Benjamin Bilke | Physical Therapy Assistant | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2015-08-12 |
| 1992181408 | James William Gelder | Physician Assistant | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2015-08-06 |
| 1033593918 | Crystal J Dillett | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2015-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951206 | Emily Tanis | Physical Therapist | 6722 Wi-50, Lake Geneva, WI 53147 | 2020-08-05 |
| 1588295653 | Baylee M Noe | Occupational Therapy Assistant | Sage Meadow of Lake Geneva 6722 Wi-50, Lake Geneva, WI 53147 | 2020-01-28 |
| 1124539556 | Roxanne Weber | Registered Nurse | 146 E. Geneva Square, Lake Geneva, WI 53147 | 2017-10-12 |
| 1386969400 | Emily Kathleen Wilczak | Surgery | N2950 Wi-67, Lake Geneva, WI 53147 | 2010-03-31 |
| 1538294020 | Dale Alan Miller | Pharmacist | 2950 St. Hwy. 67, Lake Geneva, WI 53147 | 2007-02-23 |
| 1689779902 | Balistreri & Associates Physical Therapy | Physical Therapist | 902 Wells Street, Lake Geneva, WI 53147 | 2006-09-13 |
| 1336157981 | Nestor C Alabarca | Internal Medicine | 146 E Geneva Square, Lake Geneva, WI 53147 | 2006-08-03 |
| 1144259375 | Kim M. Cuculi | Occupational Therapist | 800 Geneva Pkwy N Ste 3, Lake Geneva, WI 53147 | 2006-07-01 |
| 1033550934 | Kathleen M Bullard | Counselor | 647 W Main St Ste 900, Lake Geneva, WI 53147 | 2013-07-09 |
| 1437492675 | Nicole M. Gladchenko | Physician Assistant | N2950 State Road 67, Lake Geneva, WI 53147 | 2013-04-05 |
| Find all providers in zip 53147 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1265872998 | Eugene Kligman | Internal Medicine | 13133 N Port Washington Rd Ste G16, Mequon, WI 53097-2423 | 2013-06-26 |
| 1770929226 | Paul Michael Estrada | Internal Medicine | 437 N Frances St, Madison, WI 53703-2013 | 2013-05-10 |
| 1174851273 | Victor Ciofoaia | Internal Medicine | 700 West Ave South, La Crosse, WI 54601 | 2009-12-01 |
| 1255594537 | Freddy Caldera Jr. | Internal Medicine | 1685 Highland Avenue, 4256 Mfcb, Madison, WI 53705 | 2008-07-07 |
| 1457552689 | Erica Ann Samuel | Internal Medicine | 2424 S 90th St Ste 410, West Allis, WI 53227-2455 | 2007-05-28 |
| 1629157425 | Charles Cromwell | Internal Medicine | 2311 N Prospect, Milwaukee, WI 53211 | 2006-11-03 |
| 1992805832 | Suhasini Turlapati | Internal Medicine | 820 E Grant Street, Appleton, WI 54911 | 2006-09-22 |
| 1679676936 | Holy Family Memorial Inc | Internal Medicine | 800 Lakefront Way, Two Rivers, WI 54241-3301 | 2006-09-05 |
| 1639287436 | Kevin A Lang | Internal Medicine | M207 Marsh Ln, Marshfield, WI 54449-9293 | 2006-08-29 |
| 1063423515 | Joel M Carlson | Internal Medicine | 420 Dewey Street, Wisconsin Rapids, WI 54495-0005 | 2006-08-10 |
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| City | LAKE GENEVA |
| Zip Code | 53147 |
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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.