Choudry, Safoora Mahmood

Choudry, Safoora Mahmood is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy Ste 380 , Milwaukee WI 53215-3632. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Choudry, Safoora Mahmood can be contacted via phone (474) 649-3370.

Contact Information

Primary practice address
2801 W Kinnickinnic River Pkwy Ste 380 Milwaukee WI 53215-3632
Phone: (474) 649-3370
Fax: (414) 385-2461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 2020012675 Missouri

Profile Details

NPI number 1982086948
LBN Legal business name Choudry, Safoora Mahmood
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2015
Last updated Jan 24th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982086948 NPPES
Wisconsin MEDICAID 100186603

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