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NPI Code Detail

MEDICARE: AZHAR M. YUNUS M.D.

MEDICARE: AZHAR M. YUNUS M.D.
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
1207RA0401XAddiction Medicine (Internal Medicine) Physician51200-020WI
22084P0804XChild & Adolescent Psychiatry Physician51200-020WI
32084P0800XPsychiatry Physician51200-020WI

Other Identifiers

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

General Provider Information

NPI Number : 1497704167
Entity Type Code : Individual
Provider Name (Legal Business Name) : AZHAR M. YUNUS M.D.
Provider Business Mailing Address
First Line : 34700 VALLEY RD
Second Line :
City : OCONOMOWOC
State : WI
Zip : 53066-4500
Country : US
Telephone Number : 262-646-4411
Fax Number :
Provider Business Practice Location Address
First Line : 11101 W LINCOLN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53227-1133
Country : US
Telephone Number : 414-327-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 04/04/2023

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