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SIDRAH AMHED KHAN
NPI 1376141473
Speech-Language Pathologist in Port Edwards, WI

Active since October 12, 2020
1351 WISCONSIN RIVER DR, PORT EDWARDS, WI 54469(715) 885-8333 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sidrah Amhed Khan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIDRAH AMHED KHAN (NPI 1376141473) is an individual speech-language pathologist provider in Port Edwards, Wisconsin, licensed in Wisconsin (5104-154) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1376141473
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSIDRAH AMHED KHAN
Location Address1351 WISCONSIN RIVER DRPort Edwards, WI 54469-1099
Mailing Address1425 N 12th Ave Apt 310Wausau, WI 54401-2457 · (201) 281-9672
Phone(715) 885-8333
Sole ProprietorYes
Enumeration DateOctober 12, 2020
NPPES CertifiedOctober 12, 2020
✔ NPI 1376141473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in WI · 5104-154
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1351 WISCONSIN RIVER DR, Port Edwards, WI 54469
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTY OF WOOD
Skilled Nursing Facility
1351 WISCONSIN RIVER DR
PORT EDWARDS, WI 54469
Wood County (715) 885-8300
CHARLENE M MARSHALL
Physical Therapy Assistant
1351 WISCONSIN RIVER DR
PORT EDWARDS, WI 54469
Wood County (715) 885-8305
MRS. DIANNA WITT COTA
Occupational Therapy Assistant
1351 WISCONSIN RIVER DR
PORT EDWARDS, WI 54469
Wood County (715) 885-8300
MRS. LISA LYNN O'SHASKY COTA
Occupational Therapy Assistant
1351 WISCONSIN RIVER DR
PORT EDWARDS, WI 54469
Wood County (715) 885-8300
MRS. SHARON K. HOLY P.T.
Physical Therapist (Geriatrics)
1351 WISCONSIN RIVER DR
PORT EDWARDS, WI 54469
Wood County (715) 885-8300
MICHAEL LYNN BERNARDE PTA
Physical Therapy Assistant
1351 WISCONSIN RIVER DR
PORT EDWARDS, WI 54469
Wood County (715) 885-8300
MS. AMANDA SUE VERIHA LPTA
Physical Therapy Assistant
1351 WISCONSIN RIVER DR
PORT EDWARDS, WI 54469
Wood County (715) 885-8300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sidrah Khan's NPI number?

The NPI number for Sidrah Khan is 1376141473. It was assigned to this individual provider in the NPPES registry on October 12, 2020.

Where is Sidrah Khan located?

Sidrah Khan practices at 1351 Wisconsin River Dr, Port Edwards, WI 54469. The listed phone number is (715) 885-8333.

What is Sidrah Khan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Sidrah Khan was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.