Individual
DR. UZMA REZVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036.150704
IL
207L00000X
Anesthesiology Physician
Primary
72676-20
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
125063019
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003256850
—
WI
Enumeration date
06/26/2013
Last updated
11/21/2024
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