Individual
UMAR SHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5800 W BURLEIGH ST, MILWAUKEE, WI 53210-1516
(414) 444-7787
(414) 444-8803
Mailing address
5800 W BURLEIGH ST, MILWAUKEE, WI 53210-1516
(414) 444-7787
(414) 444-8803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52104-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043499049
—
WI
Enumeration date
10/26/2007
Last updated
11/26/2015
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