Provider Demographics
NPI:1295889046
Name:SAMI, ZEBA (MD)
Entity type:Individual
Prefix:
First Name:ZEBA
Middle Name:
Last Name:SAMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:910 ELM GROVE RD
Mailing Address - Street 2:STE 11B
Mailing Address - City:ELM GROVE
Mailing Address - State:WI
Mailing Address - Zip Code:53122-2531
Mailing Address - Country:US
Mailing Address - Phone:414-777-0740
Mailing Address - Fax:414-777-0749
Practice Address - Street 1:10702 W BURLEIGH ST
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53222-3310
Practice Address - Country:US
Practice Address - Phone:414-777-0740
Practice Address - Fax:414-777-0749
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI36085-0202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32109800Medicaid
WI32109800Medicaid
WIG31085Medicare UPIN
WI01344Medicare ID - Type UnspecifiedMEDICARE