Individual
TAMIM NAWAEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 W VILLARD AVE, MILWAUKEE, WI 53209-4901
(414) 527-8415
(414) 527-5069
Mailing address
2400 W VILLARD AVE, MILWAUKEE, WI 53209-4901
(414) 527-8415
(414) 527-5069
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
R80151
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
100789-851
WI
390200000X
Student in an Organized Health Care Education/Training Program
11023877A
IN
Other
Enumeration date
08/14/2023
Last updated
06/28/2024
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