| Huz Shifamed | |
|
2918 Marketplace Dr Fitchburg WI 53719-5326 | |
| (904) 962-6005 | |
| Not Available |
| Full Name | Huz Shifamed |
|---|---|
| Speciality | Clinic/Center |
| Location | 2918 Marketplace Dr, Fitchburg, Wisconsin |
| Authorized Official Name and Position | Haissam Barakat (OFFICE MANAGER) |
| Authorized Official Contact | 9049626005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huz Shifamed 2918 Marketplace Dr Fitchburg WI 53719-5326 Ph: () - | Huz Shifamed 2918 Marketplace Dr Fitchburg WI 53719-5326 Ph: (904) 962-6005 |
| NPI Number | 1184498180 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 11/14/2023 |
| Medicare PECOS PAC ID | 1557701166 |
|---|---|
| Medicare Enrollment ID | O20240430002362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184498180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Hena Kausar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1821418583 PECOS PAC ID: 6608191069 Enrollment ID: I20160121001997 |
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