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

Mazen Noufal, MD

Individual provider Neurology Physician · NPI 1134344153

Mazen Noufal, MD is a Neurology in Milwaukee, Wisconsin. Qualified in 2003, 23 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in Arkansas and Wisconsin.

Years since qualifying
23
Licensed in
AR, WI
In the registry since
2007
Specialties on file
2
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

9200 W Wisconsin Ave Dept OF Neurology
Milwaukee, WI 53226-3522
Phone: (414) 805-5200
Fax: (414) 259-0469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 60676 (WI)
Neurology Physician Taxonomy 2084N0400X · Licence E-6122 (AR)

Record details

NPI number1134344153
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2007
Last updated in NPPESDecember 8, 2021

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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