Faramarz Edalat (NPI# 1528295854, PAC ID# 0244532273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1528295854 |
| PAC ID by PECOS | 0244532273 |
| Professional Enrollment ID | I20170925002548 |
| Full Name | Faramarz Edalat |
| Organization Legal Name | LAKESHORE MEDICAL CLINIC LLC |
| Address |
200 E Layton Ave Milwaukee WI 53207-5908 |
| Phone Number | 4147446589 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 7719890730 |
| Number of Group Practice Members | 297 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110230 | EMORY JOHNS CREEK HOSPITAL |
| 110082 | SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC |
| 520035 | AURORA SHEBOYGAN MEMORIAL MEDICAL CTR |
| 520138 | AURORA ST LUKES MEDICAL CENTER |
| 520198 | AURORA MEDICAL CENTER OSHKOSH |
| Address | Phone | Organization |
|---|---|---|
| 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 4047787525 | EMORY CLINIC INC |
| 200 E Layton Ave, Milwaukee, WI 53207-5908 | 4147446589 | LAKESHORE MEDICAL CLINIC LLC |
| Organization Legal Name | LAKESHORE MEDICAL CLINIC LLC |
| Physicians | 101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly Marie Yurk | Nurse Practitioner | Lakeshore Medical Clinic LLC | 100 15th Ave, South Milwaukee, WI 53172-1160 |
| Mary K Murphy | Nurse Practitioner | Lakeshore Medical Clinic LLC | 163 N Milwaukee St, Milwaukee, WI 53202-6012 |
| Kshama Keshava Bhat | Family Medicine | Lakeshore Medical Clinic LLC | 4202 W Oakwood Park Ct, Franklin, WI 53132-9118 |
| Kristin M Lavenhagen | Physician Assistant | Lakeshore Medical Clinic LLC | 200 E Ryan Rd, Oak Creek, WI 53154-4563 |
| Sarah Katharine Hambrook | Internal Medicine | Lakeshore Medical Clinic LLC | 331 E Puetz Rd, Oak Creek, WI 53154-3254 |
| Susan L Hafemann | Nurse Practitioner | Lakeshore Medical Clinic LLC | 14555 W National Ave, New Berlin, WI 53151-4494 |
| Dixie M Patel | Family Medicine | Lakeshore Medical Clinic LLC | 3611 S Chicago Ave, S Milwaukee, WI 53172-3738 |
| Gary Hauke | Obstetrics/gynecology | Lakeshore Medical Clinic LLC | 3305 S 20th St, Milwaukee, WI 53215-4940 |
| Rita E Schulz | Family Medicine | Lakeshore Medical Clinic LLC | 2000 E Layton Ave, Saint Francis, WI 53235-6053 |
| Jeanette A Kalupa | Nurse Practitioner | Lakeshore Medical Clinic LLC | S68w15500 Janesville Rd, Muskego, WI 53150-2613 |
| Street Address |
200 E LAYTON AVE |
| City | MILWAUKEE |
| State | WI |
| Zip | 53207-5908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael G Olaciregui | Internal Medicine | 573 W Lincoln Ave, Milwaukee, WI 53207-1141 | |
| Amber M Danek | Physical Therapy | Southern Lakes Physical Therapy | 2121 S Kinnickinnic Ave, Suite 3, Milwaukee, WI 53207-1364 |
| William L Lois | Physical Therapy | Southern Lakes Physical Therapy | 2121 S Kinnickinnic Ave, Suite 3, Milwaukee, WI 53207-1364 |
| Kathleen A Howell | Physical Therapy | 2499 S Delaware Ave, Milwaukee, WI 53207-1941 | |
| Muddassir Mohiuddin | Physical Therapy | Therapy At Home LLC | 2859 S Mabbett Ave, Milwaukee, WI 53207-2522 |
| Claude M Lataille | Nurse Practitioner | Columbia St. Mary's Hospital Milwaukee, Inc | 3056 S Kinnickinnic Ave, Milwaukee, WI 53207-2583 |
| Linda M Ward | Family Medicine | Columbia St. Mary's Hospital Milwaukee, Inc | 3056 S Kinnickinnic Ave, Milwaukee, WI 53207-2583 |
| Michael Allen Brewer | Family Medicine | Columbia St. Mary's Hospital Milwaukee, Inc | 3056 S Kinnickinnic Ave, Suite 300, Milwaukee, WI 53207-2583 |
| Claudia Koch | Family Medicine | Columbia St. Mary's Hospital Milwaukee, Inc | 3056 S Kinnickinnic Ave, Milwaukee, WI 53207-2583 |
| Katherine O'keefe | Nurse Practitioner | Columbia St. Mary's Hospital Milwaukee, Inc | 3056 S Kinnickinnic Ave, Milwaukee, WI 53207-2583 |
| Find all physicians in zip 53207 | |||
| City | MILWAUKEE |
| Zip Code | 53207 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MILWAUKEE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Faramarz Edalat.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.