NPI 1235679366

Fahim Uzzaman Khan, CPO

Practitioner Orthotist La Crosse, WI

Practice location

Address: 1900 South Ave, La Crosse, WI 54601-5467
Phone: (608) 775-4010
Fax: (608) 775-6723
Mailing address: 1911 Miller St, La Crosse, WI 54601-8505

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CPO02454 (MD)

Other Orthotist providers in Wisconsin →

Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CPO02454 (MD)

Other Prosthetist providers in Wisconsin →

Registry record

NPI: 1235679366
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Mar 2017
Record last updated: 8 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.