| Maryam Gardezi, MD | |
|
2424 S 90th St, West Allis, WI 53227-2455 | |
| (414) 328-8150 | |
| Not Available |
| Full Name | Maryam Gardezi |
|---|---|
| Gender | Female |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 34 Years |
| Location | 2424 S 90th St, West Allis, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386817989 | NPI | - | NPPES |
| 35129300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 47377-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Allis Memorial Hospital | West allis, WI | Hospital |
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| 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 | Aurora Health Care Metro, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861447179 PECOS PAC ID: 8628986536 Enrollment ID: O20040114000498 |
| Entity Name | West Allis Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407801640 PECOS PAC ID: 5395656003 Enrollment ID: O20040303000829 |
| 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 |
|---|---|
| Maryam Gardezi, MD Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Maryam Gardezi, MD 2424 S 90th St, West Allis, WI 53227-2455 Ph: (414) 328-8150 |
Dr. Hesham M Elghannam, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St Ste 300, West Allis, WI 53227 Phone: 414-328-8150 | |
Dr. Ruchit D Shah, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7146 | |
Hashim Sadig, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2514 S 102nd St, 160, West Allis, WI 53227 Phone: 414-225-0300 | |
Dr. Monica M O'sullivan, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 11211 W Lincoln Ave, West Allis, WI 53227 Phone: 414-454-8300 Fax: 414-327-1450 | |
Neil Reisinger, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 904 S 114th St, West Allis, WI 53214 Phone: 414-259-9234 | |
Dr. Isaac Olabode Taiwo, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 Fax: 414-649-1328 | |
Dr. Susan L Darmstadter, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8905 W Lincoln Ave, Ste 401, West Allis, WI 53227 Phone: 414-328-8270 |