Ammara Raziuddin, D.O.
Psychiatry & Neurology, Psychiatry in West Allis, WI. Individual provider (NPI-1).
NPI number1245765148
StatusActive
Last updated in NPPESApr 26, 2023
Details
- NPI
- 1245765148
- Entity type
- Individual (NPI-1)
- Name
- Ammara Raziuddin
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 27, 2017
- Certification date
- Apr 26, 2023
- Last updated
- Apr 26, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 81081 | WI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 2084F0202X | Psychiatry & Neurology, Forensic Psychiatry | 81081 | WI |
Practice location
11101 W Lincoln AveWest Allis, WI 53227-1133
Phone 800-767-4411 · Fax 414-327-6045
Mailing address
34700 Valley RdOconomowoc, WI 53066-4500
Phone 262-646-4411 · Fax 262-646-3158
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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