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Individual

MR. AMIR ABDELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1525 N 12TH ST, MILWAUKEE, WI 53205-2591
(414) 966-3030
Mailing address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3594
(628) 206-8426

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
OR
2084N0400X
Neurology Physician
MD227931
OR
2084P0800X
Psychiatry Physician
Primary
77376
WI
2084P0800X
Psychiatry Physician
A164365
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100212954
WI
Enumeration date
09/12/2012
Last updated
10/20/2025
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