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

Shahriar Alizadegan, MD

Individual provider Surgery Physician · NPI 1063647857

Shahriar Alizadegan, MD is a Vascular Surgery in Milwaukee, Wisconsin. Qualified in 1995, 31 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
31
Licensed in
WI
In the registry since
2009
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 Vascular Surgery
Milwaukee, WI 53226-3522
Phone: (414) 805-8620
Fax: (414) 454-0152
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 62270 (WI)
Surgery Physician Taxonomy 208600000X · Licence 62270 (WI)

Record details

NPI number1063647857
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2009
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Agnesian Healthcare Inc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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