Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Shore Internal Medicine Specialist, SC

Organization Internal Medicine Physician · NPI 1669642997

North Shore Internal Medicine Specialist, SC is an Internal Medicine Physician in Thiensville, Wisconsin. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2

Practice location Address checks out

140 S Main St
Thiensville, WI 53092-1956
Phone: (262) 242-3369
Fax: (262) 242-3219
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Hospitalist Physician Taxonomy 208M00000X

Record details

NPI number1669642997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mehran Edalatpour — President · (262) 242-3369
NPI enumeratedMarch 3, 2008
Last updated in NPPESMarch 14, 2008
Mailing address6400 Industrial Loop, Greendale, WI 53129-2452

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