Organization
SHAFI MEDICAL CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD SHAFI MD (OWNER/PRESIDENT)
(414) 287-1000
Entity
Organization
Contact information
Practice address
1919 W NORTH AVE, #200, MILWAUKEE, WI 53205
(414) 387-1000
(414) 287-1010
Mailing address
4555 W SCHROEDER DR, #170, MILWAUKEE, WI 53223-1475
(414) 365-3210
(414) 365-3225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32686800
—
WI
Enumeration date
10/09/2006
Last updated
05/22/2012
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