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NPI Code Detail

MEDICARE: MR. HRAIR-GEORGE MESROBIAN MD

MEDICARE: MR. HRAIR-GEORGE MESROBIAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianM-17776ID
22088P0231XPediatric Urology PhysicianME170686FL
32088P0231XPediatric Urology Physician36790WI
4208800000XUrology Physician36790WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407803240
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HRAIR-GEORGE MESROBIAN MD
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 HIGHLAND AVE
Second Line :
City : MADISON
State : WI
Zip : 53792-0001
Country : US
Telephone Number : 608-915-0670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2006
Last Update Date : 05/12/2026

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