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Contact Information

WISEMD
1111 W 4TH ST
MADERA, CA93637-4474
 Phone: 516-467-9393
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207QS1201X 08 Physician/Family Practice
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for WISEMD

NPI Number 1437847837
LBN Legal business name WISEMD
Authorized official TABISH NAZ - (CEO/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2023
Last updated 11/16/2024 - More than a year ago
Identifiers
CA Other A184152 CALIFORNIA STATE LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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