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

Payam S Pahlavan, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1467988386

Payam S Pahlavan, MD is a Pathology in Milwaukee, Wisconsin. Qualified in 1997, 29 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group and accepts Medicare assignment. Licensed in Indiana, North Carolina and Wisconsin.

Years since qualifying
29
Licensed in
IN, NC, WI
In the registry since
2017
Specialties on file
3
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
Milwaukee, WI 53226-3522
Phone: (414) 805-6966
Fax: (414) 805-6980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 86677 (WI)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 2019-00638 (NC)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 01085854A (IN)

Record details

NPI number1467988386
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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