Alizadegan, Shahriar
Alizadegan, Shahriar is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Vascular Surgery, Milwaukee WI 53226-3522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Alizadegan, Shahriar can be contacted via phone (414) 805-8620.Contact Information
Primary practice address
9200 W Wisconsin Ave Vascular Surgery
Milwaukee WI 53226-3522
Phone: (414) 805-8620
Fax: (414) 454-0152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 62270 | Wisconsin |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 62270 | Wisconsin |
Profile Details
| NPI number | 1063647857 |
|---|---|
| LBN Legal business name | Alizadegan, Shahriar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2009 |
| Last updated | Jan 20th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063647857 | NPPES |
| Wisconsin | MEDICAID | 1063647857 |
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