| Sami Health Services, Llc | |
|
910 Elm Grove Rd Suite 11-b Elm Grove WI 53122-2531 | |
| (262) 780-1001 | |
| (262) 780-1002 |
| Full Name | Sami Health Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 910 Elm Grove Rd, Elm Grove, Wisconsin |
| Authorized Official Name and Position | Zeba Sami (PRESIDENT) |
| Authorized Official Contact | 2627801001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sami Health Services, Llc 910 Elm Grove Rd Suite 11-b Elm Grove WI 53122-2531 Ph: (262) 780-1001 | Sami Health Services, Llc 910 Elm Grove Rd Suite 11-b Elm Grove WI 53122-2531 Ph: (262) 780-1001 |
| NPI Number | 1942645510 |
|---|---|
| Provider Enumeration Date | 05/08/2013 |
| Last Update Date | 05/08/2013 |
| Medicare PECOS PAC ID | 0143469114 |
|---|---|
| Medicare Enrollment ID | O20130624000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942645510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Zeba Sami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295889046 PECOS PAC ID: 0143114124 Enrollment ID: I20040211000085 |
| Provider Name | Theresa J Zakutansky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205993482 PECOS PAC ID: 7315186392 Enrollment ID: I20130708000766 |
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