Individual
MEHRAN JABBARZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5600
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
036-100521
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
45561
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325969551
—
IL
05
—
34539500
—
WI
Enumeration date
03/30/2006
Last updated
07/30/2025
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