MASROOR MUNIM (NPI# 1326048976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 32248500 | 05 | |
WI | RAILROAD MEDICARE | 110237343 | 01 |
Street Address |
7200 W GREENFIELD AVE |
City | WEST ALLIS |
State | WI |
Zip Code | 53214-4710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255331831 | Shahida Rahman Munim | Internal Medicine | 7200 W Greenfield Ave, West Allis, WI 53214-4710 | 2005-07-26 |
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 |
Find all providers in zip 53214 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
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 |
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 |
Find all providers with the same taxonomy |
City | WEST ALLIS |
Zip Code | 53214 |
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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.