Healthcare Provider Details

I. General information

NPI: 1598083099
Provider Name (Legal Business Name): DR NADEEM NAJAM SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 04/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4555 W SCHROEDER DR SUITE 170
MILWAUKEE WI
53223-1496
US

IV. Provider business mailing address

2741 W LAYTON AVE SUITE 201
MILWAUKEE WI
53221-2600
US

V. Phone/Fax

Practice location:
  • Phone: 414-365-3210
  • Fax: 414-365-3225
Mailing address:
  • Phone: 414-672-8050
  • Fax: 414-672-1050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NADEEM NAJAM
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 414-672-8050