Individual provider · Type 1 NPI

Sumaiya Khondker, MD

Student in an Organized Health Care Education/Training Program · Milwaukee, WI

NPI number 1588044044 Active

Practice location

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522

Mailing address

3200 S Pinewood Creek Ct Apt 302
New Berlin, WI 53151-9408

Other practice locations

  • 1200 Memorial Dr, Dalton, GA 30720-2529 · (706) 272-6000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Neurology Physician 2084N0400X83911 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1588044044

Sumaiya Khondker, MD's National Provider Identifier is 1588044044, issued on May 31, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 14, 2021.