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Contact Information

SHAIBAL MAZUMDAR, MD
N84W16889 MENOMONEE AVE
MENOMONEE FALLS, WI53051-2810
 Phone: 262-251-7500
 Fax: 262-251-7128
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for SHAIBAL MAZUMDAR · (Male)

NPI Number 1093749566
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 11/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 42898
  • WI Medicaid 34047200
  • WI Other P00452798 RR MEDICARE
Hospital affiliation(s)
  • AURORA MEDICAL CENTER - (Acute Care)
    975 PORT WASHINGTON ROAD
    GRAFTON, WI 53024
  • AURORA ST LUKES MEDICAL CENTER - (Acute Care)
    2900 W OKLAHOMA AVE
    MILWAUKEE, WI 53215
  • AURORA WEST ALLIS MEDICAL CENTER - (Acute Care)
    8901 W LINCOLN AVE
    WEST ALLIS, WI 53227
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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