Organization
PIMS S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRAN EDALATPOUR M.D. (PRESIDENT)
(414) 874-4763
Entity
Organization
Contact information
Practice address
5000 W CHAMBERS ST, SUITE N240A, MILWAUKEE, WI 53210-1650
(414) 874-4763
(414) 874-4160
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32823100
—
WI
Enumeration date
11/17/2005
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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