| Faisal Shahjehan, | |
| 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | |
| (414) 805-0505 | |
| (414) 955-0231 | 
| Full Name | Faisal Shahjehan | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Hematology & Oncology | 
| Location | 9200 W Wisconsin Ave, 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 | 
|---|---|---|---|
| 1861051203 | NPI | - | NPPES | 
| 1861051203 | Medicaid | WI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 4203-320 (Wisconsin) | Primary | 
| Entity Name | Belle Chasse Physician Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245653237 PECOS PAC ID: 9335379379 Enrollment ID: O20140313000496 | 
| Entity Name | Main Street Physician Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1396150785 PECOS PAC ID: 8022331909 Enrollment ID: O20141229001749 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Faisal Shahjehan, 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-0505 | Faisal Shahjehan, 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-0505 | 
| Julia Bonner, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 3351 North Downer Avenue, Milwaukee, WI 53211 Phone: 414-229-5684 | |
| Dr. Zachary Smith, DO Hematology & Oncology 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 Hematology & Oncology 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. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-0812 Fax: 414-805-0855 | |
| Rasika Surajyam Chepuri, M.D. Hematology & Oncology 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 Hematology & Oncology 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 Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233 Phone: 414-219-7300 |