Individual
HAMZA SHAHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 ARBOR WAY, KAUKAUNA, WI 54130-7305
(920) 766-3200
Mailing address
PO BOX 735041, CHICAGO, IL 60673-5041
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
68433
WI
207RN0300X
Nephrology Physician
Primary
68433
WI
208M00000X
Hospitalist Physician
68433
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100077475
—
WI
Enumeration date
08/15/2013
Last updated
02/05/2024
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