Razzaq, Shakaib Mohammad
Razzaq, Shakaib Mohammad is an individual health care provider with primary practice located at 3727 W Wisconsin Ave , Milwaukee WI 53208-3182. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Razzaq, Shakaib Mohammad can be contacted via phone (414) 291-2626.Contact Information
Primary practice address
3727 W Wisconsin Ave
Milwaukee WI 53208-3182
Phone: (414) 291-2626
Fax: (414) 431-0050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 35171-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35171-20 | Wisconsin |
Profile Details
| NPI number | 1497712574 |
|---|---|
| LBN Legal business name | Razzaq, Shakaib Mohammad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Aug 25th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497712574 | NPPES |
| Wisconsin | MEDICAID | 32046000 |
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