Individual
DR. ALI A SADEGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(414) 219-2000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 219-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
44626-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34530600
—
WI
01
—
P00357331
RAIL ROAD MEDICARE
—
Enumeration date
12/01/2005
Last updated
01/05/2024
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