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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497712574 NPPES
Wisconsin MEDICAID 32046000

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