Individual
IMRAN SAJJAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 DELAFIELD ST, SUITE 327, WAUKESHA, WI 53188-3417
(262) 524-1024
(262) 524-8767
Mailing address
1111 DELAFIELD ST, SUITE 327, WAUKESHA, WI 53188-3417
(262) 524-1024
(262) 524-8767
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49181-20
WI
207RN0300X
Nephrology Physician
Primary
49181-020
WI
208M00000X
Hospitalist Physician
49181-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34868500
—
WI
Enumeration date
05/23/2006
Last updated
06/10/2020
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