Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 57.018866 | OH |
N | 111NI0900X | Internist | 57.018866 | OH |
Y | 207RH0003X | Hematology & Oncology | 65944 | WI |
NPI | 1053602342 |
---|---|
Provider Name | Hamid Emamekhoo |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53792-2475 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2011 |
Last Update Date | 25/01/2021 |