Doctor Name: | DR. KHAZI A MUQEET |
NPI Number: | 1841371234 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 49769020 |
Business Practice Address: | 8701 W Watertown Plank Rd Dept Of Pychiatry Milwaukee, WI - 532263548 |
Business Phone Number: | 4144566000 |
Business Fax Number: | |
Mailing Address: | 14925 W San Mateo Dr, NEW BERLIN |
State: | WI |
Postal Code: | 531514348 |
Phone Number: | 4144331668 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 11/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 49769020 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |