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

Dr. Altamash Tariq Iftikhar, DO

Individual provider Family Medicine Physician · NPI 1821431859

Dr. Altamash Tariq Iftikhar, DO is a Sports Medicine in Kenosha, Wisconsin. Graduated from Michigan State University College of Osteopathic Medicine in 2013, 13 years ago. Practices with Froedtert South Inc, a 156-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Wisconsin.

Years since qualifying
13
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
FL, WI
In the registry since
2013
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9697 Saint Catherines Dr
Kenosha, WI 53158-2118
Phone: (262) 577-8320
Fax: (262) 577-8372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13540 Walsingham Rd, Largo, FL 33774-3546 — (727) 593-5492
  • 6500 38th Ave N, St Petersburg, FL 33710-1629 — (727) 341-4819

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 81755 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 81755 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS12908 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence OS12908 (FL)

Record details

NPI number1821431859
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 9, 2013
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2013 (13 years in practice)
Group practice Froedtert South Inc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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