Individual
DR. FARRUKH SIERE PASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7080 N PORT WASHINGTON RD, RHEUMATIC DISEASE CENTER, GLENDALE, WI 53217-3879
(414) 351-4009
(414) 351-7060
Mailing address
7080 N PORT WASHINGTON RD, RHEUMATIC DISEASE CENTER, GLENDALE, WI 53217-3879
(414) 351-4009
(414) 351-7060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36116572
IL
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
20276
MS
207RR0500X
Rheumatology Physician
Primary
54391-20
WI
Other
Enumeration date
04/26/2007
Last updated
09/09/2011
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