Individual
DR. SHADIE MAJIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF RADIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3750
(414) 259-9290
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF RADIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3750
(414) 259-9290
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01058887
IN
2085R0202X
Diagnostic Radiology Physician
Primary
66541
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265472633
—
WI
05
—
200822580
—
IN
01
—
P00742654
RAILROAD MEDICARE
IN
Enumeration date
06/07/2006
Last updated
01/16/2017
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