Individual
PARASTOO-SADAT TARAVATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
83653
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100223152
—
WI
Enumeration date
07/04/2022
Last updated
09/19/2025
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