ABDUR R KHAN (NPI# 1780675439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780675439 |
| Entity Type | Individual |
| Full Name | ABDUR R KHAN |
| Credential | MD |
| Practice Address |
1818 N Meade St Ste 130 Appleton WI 54911 |
| Mailing Address |
122 E College Ave Appleton WI 54911-5794 |
| Practice Telephone | 9208311841 |
| Practice Fax Number | 9208311834 |
| Mailing Telephone | 9209963264 |
| Mailing Fax Number | 9208305970 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35089520 | OH | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 21760 | WV | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
69966 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810002265 | 05 | |
| OH | 2767840 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2200 Philadelphia Dr, Suite 644, Dayton, OH 454061840 | 9372786874 | 9372787201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336436930 | Abdur Reza Khan | Radiology | 1401 Spanos Ct Ste 111, Modesto, CA 95355-2812 | 2011-07-02 |
| 1992766851 | Abdur R Khan | Family Medicine | 4221 Pleasant Valley Road, Suite 114, Virginia Beach, VA 23464-8519 | 2006-03-30 |
| 1700132750 | Abdur Rahman Khan | Internal Medicine | Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 | 2012-07-27 |
| 1093761215 | Abdur Rob Khan | Internal Medicine | 7305 N. Military Trail, Medicine (111), West Palm Beach, FL 33410 | 2006-05-26 |
| 1821063561 | Abdur Khan | Pathology | 100 High St, Buffalo General Hospital, Buffalo, NY 14203-1126 | 2006-02-17 |
| Street Address |
1818 N MEADE ST STE 130 |
| City | APPLETON |
| State | WI |
| Zip Code | 54911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286282 | Allison B Maynard | Registered Nurse | 1818 N Meade St Ste 130, Appleton, WI 54911-3454 | 2020-02-10 |
| 1689204075 | Kelly M Mackowski | Nurse Practitioner | 1818 N Meade St Ste 130, Appleton, WI 54911-3454 | 2020-01-24 |
| 1730492992 | Corinne Nadine Klein | Internal Medicine | 1818 N Meade St Ste 130, Appleton, WI 54911-3454 | 2010-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1407993066 | David J. Brooks | Internal Medicine | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417318635 | Shalom Medical Inc | Internal Medicine | 977 Green Ridge Dr, De Pere, WI 54115-7656 | 2016-03-15 |
| 1689060188 | Loren Nunley | Internal Medicine | 8701 W Watertown Plank Rd # Huba8143, Milwaukee, WI 53226-3548 | 2015-04-10 |
| 1740420173 | Jeffrey Malden Jones | Internal Medicine | 5738 Richmond Dr, Fitchburg, WI 53719-1606 | 2009-02-25 |
| 1912144692 | Gerald J Dorff, Md | Internal Medicine | W358s2796 Highway 67, Dousman, WI 53118-9665 | 2009-01-16 |
| 1851434492 | Thomas H Dee | Internal Medicine | 3500 Oak Hill Ct, Brookfield, WI 53005-2115 | 2007-02-14 |
| 1568508307 | Matthew George Erickson | Internal Medicine | 2701 University Ave, Suite 414, Madison, WI 53705-3700 | 2007-01-29 |
| 1417039124 | Muhammad Asif Iqbal | Internal Medicine | 13880 W Prairie Ln, New Berlin, WI 53151-7509 | 2006-10-20 |
| 1144261827 | Mark Andrew Beilke | Internal Medicine | 4110 S. Lake Drive, Unit 47, St. Francis, WI 53235 | 2006-06-10 |
| 1871533265 | Ravindra Karmarkar, Md, Sc | Internal Medicine | 11625 N Riverland Rd, Mequon, WI 53092-2736 | 2006-06-07 |
| 1356380372 | Ravindra Shrinivas Karmarkar | Internal Medicine | 1700 E Juniper Way, Hartland, WI 53029-8669 | 2006-06-05 |
| Find all providers with the same taxonomy | ||||
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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.