Provider Demographics
NPI:1306018007
Name:KHAZI SYED, RASHAD H (MD)
Entity Type:Individual
Prefix:DR
First Name:RASHAD
Middle Name:H
Last Name:KHAZI SYED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4425 N PORT WASHINGTON RD
Mailing Address - Street 2:CSMCP CLINIC CREDENTIALING
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-1082
Mailing Address - Country:US
Mailing Address - Phone:414-326-2218
Mailing Address - Fax:414-326-2208
Practice Address - Street 1:2350 N LAKE DRIVE, SUITE 206
Practice Address - Street 2:CSMCP CARDIAC RHYTHM SPECIALISTS
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-2984
Practice Address - Country:US
Practice Address - Phone:414-298-7280
Practice Address - Fax:248-358-5125
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2014-08-26
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Provider Licenses
StateLicense IDTaxonomies
WI62574207RC0001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIRK083913OtherLICENSE
MI1346398971OtherGRP NPI
MI5359802Medicaid
MI110F336360OtherBCBSM
MI5359802Medicaid
MI0P41360020Medicare PIN