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Contact Information

MARIAM KHALID
824 ILLINOIS AVE
STEVENS POINT, WI54481
 Phone: 715-342-7725
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARIAM KHALID · (Female)

NPI Number 1831479005
Status Active
Credentials
Entity Individual
Enumeration date 08/19/2011
Last updated 01/03/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 277565
  • WI License # 69645
Hospital affiliation(s)
  • BROMENN HEALTHCARE - (Acute Care)
    1304 FRANKLIN AVENUE
    NORMAL, IL 61761
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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