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Contact Information

MINA M MEHANNI, MD, MS
9200 W WISCONSIN AVE FL 4
MILWAUKEE, WI53226-3522
 Phone: 414-805-6850
 Fax: 414-805-6851
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Diagnostic Ultrasound

2085U0001X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MINA M MEHANNI · (Male)

NPI # 1902186166
Status Active
Credentials MD, MS
Entity Individual
Enumeration date 08/19/2011
Last updated 05/01/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036152915
  • MO License # 2022045774
  • TX License # BP10040686
  • WI License # 62448
  • WI Medicaid 1902186166
Hospital affiliation(s) Not Available
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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