Most Relevant Information
Provider Data
| NPI Number: | 1003201625 |
| Provider Name: | BIJAN NEZAMI |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 309895 |
Most Important Dates
| Enumeration Date: | 03/31/2015 |
| Last Updated: | 02/08/2022 |
Provider Practice Location
36500 AURORA DR
SUMMIT
WI
530664899
Practice Location Phone/Fax
| Phone: | 2624341000 |
| Fax: |
Provider Mailing Location
3301 W FOREST HOME AVE
MILWAUKEE
WI
532152843
Provider Mailing Phone/Fax
| Phone: | 2624341000 |
| Fax: |
Suggested EMR
Internist EMR