Individual
NADIA HOMEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
14555 W NATIONAL AVE, NEW BERLIN, WI 53151-4494
(262) 827-3636
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81535-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100223309
—
WI
Enumeration date
05/04/2021
Last updated
08/22/2025
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