| Abdul G. Durrani Md Sc | |
|
4824 Green Bay Road Kenosha WI 53144-1789 | |
| (262) 658-3994 | |
| (262) 658-0300 |
| Full Name | Abdul G. Durrani Md Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 4824 Green Bay Road, Kenosha, Wisconsin |
| Authorized Official Name and Position | Abdul G Durrani (PRESIDENT) |
| Authorized Official Contact | 2626583994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abdul G. Durrani Md Sc 4824 Green Bay Road Kenosha WI 53144-1789 Ph: (262) 658-3994 | Abdul G. Durrani Md Sc 4824 Green Bay Road Kenosha WI 53144-1789 Ph: (262) 658-3994 |
| NPI Number | 1548467863 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 06/29/2020 |
| Medicare PECOS PAC ID | 7113991613 |
|---|---|
| Medicare Enrollment ID | O20040820000989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548467863 | NPI | - | NPPES |
| 32086900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Abdul G Durrani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306833686 PECOS PAC ID: 2860384807 Enrollment ID: I20040821000100 |
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