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Contact Information

AFSHIN HEIDARI, M.D.
600 HIGHLAND AVE
MADISON, WI53792-2349
 Phone: 608-263-8100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for AFSHIN HEIDARI · (Male)

NPI # 1255865119
Status Active
Credentials M.D.
Entity Individual
Enumeration date 04/18/2017
Last updated 04/20/2026 - About 1 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.156141
  • IL License # 036156141
  • WI License # 82265
  • WI Medicaid 100249768
Hospital affiliation(s)
  • ADVOCATE ILLINOIS MASONIC MEDICAL CENTER - (Acute Care)
    836 WEST WELLINGTON AVENUE
    CHICAGO, IL 60657
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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