Search › Wisconsin › 106H00000X
Shazdeh Bham
NPI 1417522400 · on the registry since 2021 · sole proprietor
Practice
- Address
- W200n4917 Tamarind Way
Menomonee Falls, WI 53051 - Phone
- (832) 922-1528
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin