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

Mohammad Qasim Khan, MD

Individual provider Internal Medicine Physician · NPI 1104892868

Mohammad Qasim Khan, MD is an Internal Medicine in Milwaukee, Wisconsin. Qualified in 1980, 46 years ago. Practices with Independent Physicians of Wisconsin LLC, a 41-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
46
Licensed in
WI
In the registry since
2006
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

5434 W Capitol Dr Ste 3
Milwaukee, WI 53216-2298
Phone: (414) 875-0505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35090 (WI)

Record details

NPI number1104892868
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 23, 2006
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Independent Physicians Of Wisconsin Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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