Individual
MOHAMMAD SHOIAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 454-6707
(414) 454-6747
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20931
NE
2084P0800X
Psychiatry Physician
Primary
71186-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100093923
—
WI
05
—
68051691027
—
NE
Enumeration date
07/07/2006
Last updated
06/30/2025
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