Wiaam Taha, MD | |
600 Walnut Ridge Dr, Hartland, WI 53029 | |
(262) 369-7040 | |
(262) 369-7041 |
Full Name | Wiaam Taha |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 600 Walnut Ridge Dr, Hartland, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487103198 | NPI | - | NPPES |
100086184 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 27547 (Wisconsin) | Primary |
Entity Name | Kearney Regional Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174932388 PECOS PAC ID: 7517109408 Enrollment ID: O20141029001548 |
Mailing Address | Practice Location Address |
---|---|
Wiaam Taha, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2338 | Wiaam Taha, MD 600 Walnut Ridge Dr, Hartland, WI 53029 Ph: (262) 369-7040 |
Vincent Borkowski, MD, PHD Internal Medicine Medicare: Medicare Enrolled Practice Location: 600 Walnut Ridge Dr, Hartland, WI 53029 Phone: 262-369-7040 | |
Fawad Khan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Walnut Ridge Dr, Hartland, WI 53029 Phone: 262-369-7040 | |
Dr. Kristen Jones, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 401 E Industrial Dr Unit 627, Hartland, WI 53029 Phone: 414-850-7586 | |
Dr. Mary L Geralts, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Walnut Ridge Dr, Hartland, WI 53029 Phone: 262-369-6902 Fax: 262-369-7041 |