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Individual

DR. SHAHYAR RADAFSHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4266
(262) 787-4026

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
38725-020
WI
208VP0014X
Interventional Pain Medicine Physician
Primary
38725-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32322700
WI
Enumeration date
12/04/2006
Last updated
09/11/2025
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