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

Shaibal Mazumdar, MD

Individual provider Gastroenterology Physician · NPI 1093749566

Shaibal Mazumdar, MD is a Gastroenterology Physician in Menomonee Falls, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

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

N84W16889 Menomonee Ave
Menomonee Falls, WI 53051-2810
Phone: (262) 251-7500
Fax: (262) 251-7128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 42898 (WI)

Record details

NPI number1093749566
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021
Mailing address3003 W Good Hope Rd, Milwaukee, WI 53209-2042

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