| House Call Md | |
|
5301 W Hampton Ave Milwaukee WI 53218-5019 | |
| (414) 247-9005 | |
| (414) 247-9004 |
| Full Name | House Call Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 5301 W Hampton Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Mohammad Yousef Samara (MEMBER/OWNER) |
| Authorized Official Contact | 4142479005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| House Call Md P O Box 639 Thiensville WI 53092-0639 Ph: (414) 247-9005 | House Call Md 5301 W Hampton Ave Milwaukee WI 53218-5019 Ph: (414) 247-9005 |
| NPI Number | 1083874481 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083874481 | NPI | - | NPPES |
| 32170400 | Medicaid | WI | |
| 000173606 | Other | MEDICARE PTAN INDIDUAL | |
| 000073606 | Other | MEDICARE PTAN GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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