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Individual

AMMAR TAHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 257-3060
(262) 518-5052
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
036.145109
IL
2085N0700X
Neuroradiology Physician
2015021498
MO
2085R0202X
Diagnostic Radiology Physician
16097
ND
2085R0202X
Diagnostic Radiology Physician
303155
NY
2085R0202X
Diagnostic Radiology Physician
4301113085
MI
2085R0202X
Diagnostic Radiology Physician
67064
CT
2085R0202X
Diagnostic Radiology Physician
Primary
68524
WI
2085R0204X
Vascular & Interventional Radiology Physician
2015021498
MO
2085R0204X
Vascular & Interventional Radiology Physician
4301113085
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992032577
WI
05
200023161
MO
01
ME134497
FL DOH
FL
Enumeration date
11/03/2009
Last updated
11/25/2025
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