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

Dr. Hadi Mohammad Khan, MD

Individual provider Surgery Physician · NPI 1265605679

Dr. Hadi Mohammad Khan, MD is a General Surgery in Green Bay, Wisconsin. Qualified in 2006, 20 years ago. Practices with Sanford Health Network, a 364-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Dakota and Wisconsin.

Years since qualifying
20
Licensed in
SD, WI
In the registry since
2008
Specialties on file
2
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

720 S Vanburen St Ste 201
Green Bay, WI 54301-3534
Phone: (920) 433-7488
Fax: (920) 433-7439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3015 3rd Ave Se, Aberdeen, SD 57401-5418 — (605) 226-5500

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 64318-20 (WI)
Surgery Physician Taxonomy 208600000X · Licence 13520 (SD)

Record details

NPI number1265605679
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2008
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Sanford Health Network — 364 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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