Doctor profile · Federal record
Dr. Mujtaba Khan
Dentist · Dentist · Green Bay, WI
- NPI 1093260366
- 10 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1931 Main St
Green Bay, WI 543023920
(920) 499-2770 - Mailing address
-
2345 Sunny Lane, Apt P
Green Bay, WI 54313
Credentials & registration
- NPI registered
- August 2016 — 10 yrs on file
- Profile last updated
- January 26, 2017
- Specialty taxonomy
- 122300000X — NUCC code
- State licenses (2)
- Wisconsin #1001454-15 · Indiana #12012588A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093260366. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$73
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Carl Zeiss Meditec USA, INC. | 1 | $72.94 |
By nature of payment
Frequently asked questions
What is Dr. Mujtaba Khan's medical specialty?
Dr. Mujtaba Khan practices Dentist in Green Bay, WI.
Where does Dr. Mujtaba Khan practice?
Dr. Mujtaba Khan practices at 1931 Main St, Green Bay, WI 543023920. Office phone: 9204992770.
What is Dr. Mujtaba Khan's NPI?
Dr. Mujtaba Khan's National Provider Identifier (NPI) is 1093260366, issued by NPPES.