| Pims S.c. | |
|
5000 W Chambers St Suite N240a Milwaukee WI 53210-1650 | |
| (414) 874-4763 | |
| (414) 874-4160 |
| Full Name | Pims S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5000 W Chambers St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Mehran Edalatpour (PRESIDENT) |
| Authorized Official Contact | 4148744763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pims S.c. 6400 Industrial Loop Greendale WI 53129-2452 Ph: (414) 423-4100 | Pims S.c. 5000 W Chambers St Suite N240a Milwaukee WI 53210-1650 Ph: (414) 874-4763 |
| NPI Number | 1639151335 |
|---|---|
| Provider Enumeration Date | 11/17/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639151335 | NPI | - | NPPES |
| 32823100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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