DR. MOHSIN YUNUS GHADIALI


Address: 6308 8th Ave, Kenosha, WI 53143-5031
Phone: 4142906720

DR. MOHSIN YUNUS GHADIALI (NPI# 1417272667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417272667
Entity Type Individual
Full Name DR. MOHSIN YUNUS GHADIALI
Credential M.D.
Practice Address 6308 8th Ave
Kenosha
WI 53143-5031
Mailing Address 6 N Park St
Watertown
MA 02472-2561
Practice Telephone 4142906720
Practice Fax Number 4142906755
Mailing Telephone 6309916713
Mailing Fax Number 6309916713
Enumeration Date 2010-03-31
Last Update Date 2020-04-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
63593-20 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI RAILROAD MEDICARE P01698310 01

Office Location

Street Address 6308 8TH AVE
City KENOSHA
State WI
Zip Code 53143-5031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366440851 Janet S Barney Nurse Practitioner 6308 8th Ave, Suite 2000, Kenosha, WI 53143-5031 2005-07-08
1669094165 Simona Slavinskiene Nurse Practitioner 6308 8th Ave, Kenosha, WI 53143-5031 2020-05-07
1366063133 Lisa Neyens Pharmacist 6308 8th Ave, Kenosha, WI 53143-5031 2020-05-02
1164056727 Michael James Church Physician Assistant 6308 8th Ave, Kenosha, WI 53143-5031 2020-02-23
1215593009 Ihc-wound Care Services LLC Emergency Medicine 6308 8th Ave, Kenosha, WI 53143-5031 2019-05-16
1609358357 Samantha M Rhodes Physical Therapist 6308 8th Ave, Kenosha, WI 53143-5031 2018-08-29
1063953784 Megan Roethle Registered Nurse 6308 8th Ave, Kenosha, WI 53143-5031 2017-03-14
1043678683 Sarah Rens Physician Assistant 6308 8th Ave, Kenosha, WI 53143-5031 2016-02-09
1922472422 Catherine A Hernandez Physician Assistant 6308 8th Ave, Kenosha, WI 53143-5031 2015-11-20
1750779856 Elliot M Simon Physician Assistant 6308 8th Ave, Suite 1020, Kenosha, WI 53143-5031 2014-12-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891262275 Shanda L Goecks Registered Nurse 6916 26th Ave, Kenosha, WI 53143 2018-10-24
1689942989 Racine Kenosha Community Action Agency Public Health or Welfare 2000 63rd Street, Kenosha, WI 53143 2011-12-01
1538497797 Walgreen Co Durable Medical Equipment & Medical Supplies 7525 Sheridan Rd, Kenosha, WI 53143 2009-11-30
1497929012 Ebba M Johnson Physical Therapist 524 74th Street, Kenosha, WI 53143 2008-04-15
1770789489 Kenosha Community Health Center, Inc Family Medicine 6226 14th Ave, Kenosha, WI 53143 2007-06-21
1558413161 Junith M Thompson Obstetrics & Gynecology 6530 Sheridan Road, Kenosha, WI 53143 2007-01-17
1154471332 Ljh Ambulance, Inc Ambulance 6329 28th Ave, Kenosha, WI 53143 2007-01-11
1578625794 Michael A Schellpfeffer Md Ob Gyn Sc Obstetrics & Gynecology 1400 75th Street, Kenosha, WI 53143 2006-12-14
1457468654 Yasmine S Sido Physician Assistant 7550 22nd Ave, Kenosha, WI 53143 2006-08-24
1356307359 Nancy Jane Houtchens Dentist 7533 22nd Ave, Ste 100, Kenosha, WI 53143 2006-04-26
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285683284 Ihc-kenosha Radiology, LLC Radiology 6308 8th Avenue, Uhs Kenosha Campus, Kenosha, WI 53143-5031 2006-05-08
1538127816 Mri & Imaging of Wisconsin Inc Radiology 8500 75th St, Suite 106, Kenosha, WI 53142-8213 2006-05-03
1043509680 Massihullah Hamidi Radiology 10400 75th St, Kenosha, WI 53142-7884 2011-04-05
1689998148 Luke A Falesch Radiology 10400 75th St, Kenosha, WI 53142-7884 2010-03-26
1932204146 Michael Alan Price Radiology 6308 8th Ave, Kenosha, WI 53143-5031 2006-09-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487264511 Howard Simon Md PC Radiology 3960 Hillside Dr Ste 106, Delafield, WI 53018-2148 2020-08-04
1952951154 Premier Radiology Wisconsin, LLC Radiology 10180 Washington Ave Ste 101, Mt Pleasant, WI 53177-1604 2019-09-19
1013478635 Troy Nelson Tenbrunsel Radiology Uw Hospitals & Clinics 600 Highland Road, Madison, WI 53792-0001 2019-03-27
1336660216 Kevin Shuai Lian Radiology 420 W Dayton St Unit 1142, Madison, WI 53703 2017-06-30
1346774726 Molly Peterson Radiology 2639 University Ave Ste 201, Madison, WI 53705-3750 2017-04-12
1821445107 Ryan Griesbach Radiology Uw Hospitals and Clinic, 600 Highland Ave, Madison, WI 53792-0001 2016-05-17
1629442181 Dysphagia Testing, LLC Radiology 10638 Hidden Creek Dr, Mequon, WI 53092-8538 2015-11-20
1679987341 Daniel Joseph Baumel Radiology 513 Clifden Dr, Madison, WI 53711-1530 2014-06-20
1235549247 Benjamin Sawatzky Radiology 9 S Marquette St, Madison, WI 53704-5117 2014-04-29
1285054064 Matthew Gregory Pipho Radiology 9306 Briar Haven Dr, Verona, WI 53593-8791 2014-04-21
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Competitor

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City KENOSHA
Zip Code 53143

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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