Healthcare Provider Details

I. General information

NPI: 1295889046
Provider Name (Legal Business Name): ZEBA SAMI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 ELM GROVE RD STE 11B
ELM GROVE WI
53122-2531
US

IV. Provider business mailing address

910 ELM GROVE RD STE 11B
ELM GROVE WI
53122-2531
US

V. Phone/Fax

Practice location:
  • Phone: 262-780-1001
  • Fax: 262-780-1002
Mailing address:
  • Phone: 262-780-1001
  • Fax: 262-780-1002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number36085-020
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: