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

Individual provider Marriage & Family Therapist · NPI 1104179019

Dr. Farrukh Ghazala, MD is a Marriage and Family Therapist in Milwaukee, Wisconsin. Qualified in 1989, 37 years ago. Practices with Shorehaven Behavioral Health Inc, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
37
Licensed in
WI
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3200 W Highland Blvd
Milwaukee, WI 53208-3252
Phone: (414) 342-4560
Fax: (414) 342-5326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 298-228 (WI)

Record details

NPI number1104179019
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2012
Last updated in NPPESSeptember 7, 2023
Mailing address11420 N Justin Dr, Mequon, WI 53092-2784

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Shorehaven Behavioral Health Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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