Individual
DR. FARHAD SEPAHPANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 W NATIONAL AVE, VA MEDICAL CENTER, MILWAUKEE, WI 53295-0001
(414) 284-2000
(414) 382-5293
Mailing address
5000 W NATIONAL AVE, VA MEDICAL CENTER, MILWAUKEE, WI 53295-0001
(414) 284-2000
(414) 382-5293
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
46908
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009906261C
HUMANA
—
05
—
1508818451
—
WI
05
—
34528300
—
WI
Enumeration date
05/17/2006
Last updated
09/28/2012
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