Individual
NASVIN IMAMUDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7878 N 76TH ST, MILWAUKEE, WI 53223-3914
(414) 586-5710
(414) 586-5740
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
72558-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097787
—
WI
Enumeration date
06/12/2018
Last updated
11/10/2025
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