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Contact Information

WIAAM TAHA, MD
600 WALNUT RIDGE DR
HARTLAND, WI53029
 Phone: 262-369-7040
 Fax: 262-369-7041
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WIAAM TAHA · (Female)

NPI Number 1487103198
Status Active
Credentials MD
Entity Individual
Enumeration date 09/23/2016
Last updated 11/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 27547
  • WI Medicaid 100086184
Hospital affiliation(s)
  • AURORA MEDICAL CENTER - (Acute Care)
    36500 AURORA DRIVE
    SUMMIT, WI 53066
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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