Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abdur R Khan, MD

Individual provider Internal Medicine Physician · NPI 1780675439

Abdur R Khan, MD is an Infectious Disease in Milwaukee, Wisconsin. Qualified in 1990, 36 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio, Wisconsin and West Virginia.

Years since qualifying
36
Licensed in
OH, WI, WV
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2901 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3677
Phone: (414) 646-8990
Fax: (414) 646-8995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2200 Philadelphia Dr, Dayton, OH 45406-1840 — (937) 278-6874
  • 1818 N Meade St Ste 130, Appleton, WI 54911 — (920) 831-1841

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 69966 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35089520 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 21760 (WV)

Record details

NPI number1780675439
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 2, 2005
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINFECTIOUS DISEASE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Lakeshore Medical Clinic Llc — 379 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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