Dr Amjed Z Zidan, DO | |
6901 W Edgerton Ave, Greenfield, WI 53220-4420 | |
(414) 325-5244 | |
Not Available |
Full Name | Dr Amjed Z Zidan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 6901 W Edgerton Ave, Greenfield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538621321 | NPI | - | NPPES |
100240341 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 80095 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Aurora Advanced Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
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Dr Amjed Z Zidan, DO Po Box 735044, Chicago, IL 60673-5044 Ph: (414) 325-5244 | Dr Amjed Z Zidan, DO 6901 W Edgerton Ave, Greenfield, WI 53220-4420 Ph: (414) 325-5244 |
Heidi J Harkins, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-421-8400 | |
Minhaj U Husain, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 W Loomis Rd Ste 201, Greenfield, WI 53220 Phone: 414-281-4466 Fax: 414-365-3225 | |
Sarah K Hambrook, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Dr. Michael F Girolami, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-421-8400 | |
Dr. Prasanta K Lahiri, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4448 W Loomis Rd, #204, Greenfield, WI 53220 Phone: 414-281-1688 Fax: 414-281-8170 | |
Vallikantha Nellaiappan, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4448 W Loomis Rd, Greenfield, WI 53220 Phone: 414-281-5150 |