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Individual

DR. MOHAMED SHAIF SAJID YUSUFISHAQ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13250 WASHINGTON AVE, MOUNT PLEASANT, WI 53177-1516
(262) 799-8700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
83428-20
WI
2085R0202X
Diagnostic Radiology Physician
Primary
83248-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100277429
WI
Enumeration date
03/20/2019
Last updated
02/17/2026
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