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

Dr. Masoud Ganji, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1861595910

Dr. Masoud Ganji, MD is a Pathology in Mequon, Wisconsin. Qualified in 1995, 31 years ago. Practices with North Shore Pathologists SC, a 15-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
31
Licensed in
WI
In the registry since
2006
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

13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone: (262) 243-7300
Fax: (414) 961-3421
Show map & directions

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

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 46629 (WI)

Record details

NPI number1861595910
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 6, 2006
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice North Shore Pathologists Sc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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