Basic Information
| Provider Information | |||||||||
| NPI: | 1528322674 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ELAHI | ||||||||
| FirstName: | MOHAMMED | ||||||||
| MiddleName: | UMAIR | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4425 N PORT WASHINGTON RD | ||||||||
| Address2: | |||||||||
| City: | GLENDALE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532121082 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4143262218 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2323 N LAKE DR | ||||||||
| Address2: | |||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532114508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4142704932 | ||||||||
| FaxNumber: | 4145855195 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/03/2012 | ||||||||
| LastUpdateDate: | 12/02/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 12/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 64424 | WI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 125061903 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 64424 | WI | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 036-135979 | IL | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.