| Dr Mahtab K Sidhu, MD | |
|
5000 W Chambers St, Suite N240a, Milwaukee, WI 53210-1650 | |
| (414) 874-4763 | |
| (414) 874-4160 |
| Full Name | Dr Mahtab K Sidhu |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 5000 W Chambers St, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700866365 | NPI | - | NPPES |
| 34373900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 45476-020 (Wisconsin) | Primary |
| Entity Name | Oak Medical Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669910345 PECOS PAC ID: 0042595175 Enrollment ID: O20170331001848 |
| Entity Name | Maple Medical Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487152104 PECOS PAC ID: 9032471248 Enrollment ID: O20180328002607 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mahtab K Sidhu, MD 6400 Industrial Loop, Greendale, WI 53129-2452 Ph: (414) 423-4100 | Dr Mahtab K Sidhu, MD 5000 W Chambers St, Suite N240a, Milwaukee, WI 53210-1650 Ph: (414) 874-4763 |
Julia Bonner, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3351 North Downer Avenue, Milwaukee, WI 53211 Phone: 414-229-5684 | |
Dr. Zachary Smith, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-6830 Fax: 414-955-6214 | |
Dr. Christopher Patrick Boyd, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6000 Fax: 414-805-6280 | |
Umair Bajwa, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-0812 Fax: 414-805-0855 | |
Rasika Surajyam Chepuri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-7040 Fax: 414-955-6211 | |
Therese J. Lange, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6550 Fax: 414-805-6550 | |
Soryal A Soryal, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233 Phone: 414-219-7300 |