Individual
MR. FARZAD KAMRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3201 S. 16TH STREET, S# 2007, MILWAUKEE, WI 53215
(414) 645-7828
(414) 645-7842
Mailing address
3201 S. 16TH STREET, S# 2007, MILWAUKEE, WI 53215
(414) 645-7828
(414) 645-7842
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-056984
IL
207RC0000X
Cardiovascular Disease Physician
Primary
21446
WI
207RC0000X
Cardiovascular Disease Physician
21446-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KAMRAFAR
MERCYCARE INSURANCE
WI
01
—
P00849774CD3624
RR MEDICARE
WI
Enumeration date
02/13/2006
Last updated
12/08/2020
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