Provider Demographics
NPI:1235443615
Name:VISITING MEDICAL DOCTORS
Entity Type:Organization
Organization Name:VISITING MEDICAL DOCTORS
Other - Org Name:VMDS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FARID
Authorized Official - Middle Name:AREF
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-255-6141
Mailing Address - Street 1:N85W18181 TYLER DR
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-2535
Mailing Address - Country:US
Mailing Address - Phone:262-255-1040
Mailing Address - Fax:262-255-4090
Practice Address - Street 1:7071 S 13TH ST
Practice Address - Street 2:STE#103
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53154-1466
Practice Address - Country:US
Practice Address - Phone:414-764-6080
Practice Address - Fax:414-764-6091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-28
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty