# NEDA ESMAILI MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447696539
- **Authorized official:** DR. NEDA ESMAILI MD (PHYSICIAN)
- **Authorized official phone:** (919) 672-0114

## Contact information

- **Practice address:** 377 WEST RIVERWOODS PARKWAY, SUITE 115, GLENDALE, WI 53212
- **Practice address phone:** (414) 271-7200
- **Mailing address:** 1626 N PROSPECT AVE, APT 406, MILWAUKEE, WI 53202-2493
- **Mailing address phone:** (919) 672-0114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 55316-20 | WI | Yes |

## Other

- **Enumeration date:** 05/15/2013
- **Last updated:** 05/15/2013