RUBA NAIM KHADER BDS NPI 1992976427

NPI Information

NPI: 1992976427
Provider Name: RUBA NAIM KHADER, BDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
408 W FLORIDA ST STE 105
MILWAUKEE, WI
ZIP 53204
Phone: (414) 810-1707
Get Directions

Ruba Naim Khader, BDS is an oral and maxillofacial surgery dentist in Milwaukee, WI. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Ruba Naim Khader, BDS NPI is 1992976427. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

408 W FLORIDA ST STE 105
MILWAUKEE, WI
ZIP 53204-509
Phone: (414) 810-1707

The NPI 1992976427 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/12/2008 and was last updated on 5/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		9594	MASSACHUSETTS	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	9002	KENTUCKY	No
3	204E00000X	Oral & Maxillofacial Surgery		9002	KENTUCKY	No
4	1223S0112X	Dentist	Oral and Maxillofacial Surgery	1000960	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1992976427	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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