Individual
DR. SHERAN S MAHATME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9200 W WISCONSIN AVE, INFECTIOUS DISEASE, MILWAUKEE, WI 53226-3522
(414) 805-6444
(414) 805-6702
Mailing address
9200 W WISCONSIN AVE, INFECTIOUS DISEASE, MILWAUKEE, WI 53226-3522
(414) 805-6444
(414) 805-6702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102201736
VA
207RI0200X
Infectious Disease Physician
0102201736
VA
207RI0200X
Infectious Disease Physician
2009-1453
NC
207RI0200X
Infectious Disease Physician
Primary
65183
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-032
TRICARE/CHAMPUS
VA
05
—
010188075
—
VA
01
—
01553
BC/BS
NC
01
—
10003501
SENTARA / OPTIMA INFECTIOUS DISEASE
VA
01
—
10003793
SENTARA/INF DIS PCP
VA
05
—
1396711297
—
WI
01
—
154EE
BC/BS NC
NC
01
—
186800
ANTHEM
VA
05
—
5901553
—
NC
01
—
9140289
UHC/MAMSI
VA
01
—
PAR
CIGNA
VA
Enumeration date
02/28/2006
Last updated
03/24/2016
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