| Amel Tobaa, MD | |
|
6901 W Edgerton Ave, Greenfield, WI 53220-4420 | |
| (414) 325-5244 | |
| Not Available |
| Full Name | Amel Tobaa |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 6901 W Edgerton Ave, Greenfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578026340 | NPI | - | NPPES |
| 100227067 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 80093 (Wisconsin) | Primary |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Amel Tobaa, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (414) 325-5244 | Amel Tobaa, MD 6901 W Edgerton Ave, Greenfield, WI 53220-4420 Ph: (414) 325-5244 |
Heidi J Harkins, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-421-8400 | |
Dr. Michael F Girolami, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-421-8400 | |
Dr. Prasanta K Lahiri, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4448 W Loomis Rd, #204, Greenfield, WI 53220 Phone: 414-281-1688 Fax: 414-281-8170 | |
Ismael Mohammad Abu Limon, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4848 S 76th St Ste 210, Greenfield, WI 53220 Phone: 414-847-7080 Fax: 414-810-4962 | |
Dr. Amjed Z Zidan, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Vallikantha Nellaiappan, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4448 W Loomis Rd, Greenfield, WI 53220 Phone: 414-281-5150 |