MASROOR MUNIM


Address: 7200 W Greenfield Ave, West Allis, WI 53214-4710
Phone: 4145431441

MASROOR MUNIM (NPI# 1326048976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326048976
Entity Type Individual
Full Name MASROOR MUNIM
Credential MD
Practice Address 7200 W Greenfield Ave
West Allis
WI 53214-4710
Practice Telephone 4145431441
Practice Fax Number 4145431521
Mailing Telephone (414) 543-1441
Mailing Fax Number 4145431521
Enumeration Date 2005-07-26
Last Update Date 2017-09-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 37915 WI Allopathic & Osteopathic Physicians
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
37915 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 32248500 05
WI RAILROAD MEDICARE 110237343 01

Office Location

Street Address 7200 W GREENFIELD AVE
City WEST ALLIS
State WI
Zip Code 53214-4710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255331831 Shahida Rahman Munim Internal Medicine 7200 W Greenfield Ave, West Allis, WI 53214-4710 2005-07-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740740208 Melanie Figueroa Counselor West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 2019-03-21
1619403011 Lea Salome Denny Counselor 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 2017-05-04
1891148318 West Allis Prescription Center Inc Pharmacy 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 2016-07-20
1316390495 Kristina Overlee Nurse Practitioner 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 2016-07-13
1801239843 Daniel Anthony Cichy Pharmacist 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 2013-04-09
1295072544 Wisconsin Vision, Inc. Optometrist 1220 Miller Park Way, West Milwaukee, WI 53214 2013-01-07
1831457720 Kevin Konieczka Physical Therapist 1224 Miller Parkway, Milwaukee, WI 53214 2012-04-27
1497031843 Jill Elizabeth Gerou Registered Nurse 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 2011-10-31
1700176815 Carolyn Hasek Counselor 1126 S 70th St Ste 112-113, West Allis, WI 53214 2011-04-10
1972802775 Barbara Smith Licensed Practical Nurse 651 S 63 St, Apt1, Milwaukee, WI 53214 2011-03-18
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Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952955270 New Day Medical LLC Internal Medicine 4655 N Pt Wash Rd, Glendale, WI 53212-1004 2019-07-25
1518404854 Cleanslate Medical Group of Wisconsin, Sc Internal Medicine 377 W River Woods Pkwy Ste 201, Glendale, WI 53212-1088 2017-01-25
1164596615 Selahattin S. Kurter Internal Medicine 1661 N Water St, Suite 301, Milwaukee, WI 53202-2085 2006-11-17
1922627595 Monarch Health Internal Medicine 521 E Washington Ave, Madison, WI 53703-2900 2020-04-13
1821624925 Brittany Kay Gerovac Internal Medicine 521 E Washington Ave, Madison, WI 53703-2900 2020-03-20
1932695871 Iris Health Clinic LLC Internal Medicine 403 N Grand Ave, Waukesha, WI 53186-4913 2018-07-03
1962911602 Mareum Lucinda Connett Internal Medicine 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 2017-09-26
1205263159 Sullivan Medical Clinic, LLC Internal Medicine 6040 W Lisbon Ave, Suite 200, Milwaukee, WI 53210-2116 2013-10-07
1174890792 Milind Mehta Internal Medicine 1220 Dewey Ave, Wauwatosa, WI 53213-2504 2011-11-28
1285824029 Larry L Heller Internal Medicine 430 E Division St, Fond Du Lac, WI 54935-4560 2007-07-27
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Competitor

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City WEST ALLIS
Zip Code 53214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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