Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036135124 | IL |
N | 111NI0900X | Internist | 036135124 | IL |
N | 207R00000X | Internist | 4301100128 | MI |
N | 111NI0900X | Internist | 4301100128 | MI |
N | 207R00000X | Internist | MT195216 | PA |
N | 111NI0900X | Internist | MT195216 | PA |
Y | 207RH0003X | Hematology & Oncology | 67714 | WI |
NPI | 1063641157 |
---|---|
Provider Name | Dr. Sameem M Abedin |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2009 |
Last Update Date | 01/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1063641157 | (05) | WI |