Provider Demographics
NPI:1306112842
Name:EISA, ABEDRAZIK HASHIM (MD)
Entity type:Individual
Prefix:DR
First Name:ABEDRAZIK
Middle Name:HASHIM
Last Name:EISA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:W180N8085 TOWN HALL RD
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-3518
Mailing Address - Country:US
Mailing Address - Phone:262-257-5100
Mailing Address - Fax:262-257-2570
Practice Address - Street 1:W180N8085 TOWN HALL RD
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-3518
Practice Address - Country:US
Practice Address - Phone:262-257-5100
Practice Address - Fax:262-257-2570
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2017-01-05
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Provider Licenses
StateLicense IDTaxonomies
WI619672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry