Mortada, Mohammad Eyman
Mortada, Mohammad Eyman is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy Suite 777, Milwaukee WI 53215-3669. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Mortada, Mohammad Eyman can be contacted via phone (414) 649-3390.Contact Information
Primary practice address
2801 W Kinnickinnic River Pkwy Suite 777
Milwaukee WI 53215-3669
Phone: (414) 649-3390
Fax: (414) 649-5769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 43167-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 43167-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 43167-020 | Wisconsin |
Profile Details
| NPI number | 1770788036 |
|---|---|
| LBN Legal business name | Mortada, Mohammad Eyman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Jun 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770788036 | NPPES |
| Wisconsin | MEDICAID | 34173300 |
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