Dr Shahram Bahrami, MD | |
2300 Western Ave, Manitowoc, WI 54220-3712 | |
(920) 320-3484 | |
Not Available |
Full Name | Dr Shahram Bahrami |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 2300 Western Ave, Manitowoc, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578771010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301086575 (Michigan) | Primary |
Entity Name | Froedtert Manitowoc Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
Mailing Address | Practice Location Address |
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Dr Shahram Bahrami, MD Po Box 2290, Manitowoc, WI 54221-2290 Ph: (920) 320-2591 | Dr Shahram Bahrami, MD 2300 Western Ave, Manitowoc, WI 54220-3712 Ph: (920) 320-3484 |
Todd A Nelson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 | |
Guy A O'connor, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 | |
Robert Capello, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Bayshore Dr, Manitowoc, WI 54220 Phone: 920-682-6376 Fax: 920-652-0115 | |
James T Murphy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 | |
Steven G Chilinski, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 Dewey St, Manitowoc, WI 54220 Phone: 920-686-5700 | |
Steven Umhoefer, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 |