Individual
OSAMA ELTAYEB MOHAMMED ELKHIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-0855
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-0855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
80017
WI
208M00000X
Hospitalist Physician
Primary
80017
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215582382
—
WI
Enumeration date
08/06/2019
Last updated
03/15/2023
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