Individual
SINA MEISAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-8340
(608) 265-6533
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
51721
WI
2085R0202X
Diagnostic Radiology Physician
Primary
N2655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203013201
—
TX
05
—
203013202
—
TX
Enumeration date
06/16/2008
Last updated
11/02/2010
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