Individual
SAFOORA MAHMOOD CHOUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 380, MILWAUKEE, WI 53215-3632
(474) 649-3370
(414) 385-2461
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 380, MILWAUKEE, WI 53215-3632
(474) 649-3370
(414) 385-2461
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2020012675
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100186603
—
WI
Enumeration date
06/25/2015
Last updated
01/24/2022
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