Provider Demographics
NPI:1588275036
Name:ABIFKA HEALTHCARE INC.
Entity type:Organization
Organization Name:ABIFKA HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /CEO/MD
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:N
Authorized Official - Last Name:HASNAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-238-1374
Mailing Address - Street 1:2401 35TH STREET
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53168
Mailing Address - Country:US
Mailing Address - Phone:126-294-5526
Mailing Address - Fax:
Practice Address - Street 1:8725 S WOOD CREEK DR
Practice Address - Street 2:
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53154-7502
Practice Address - Country:US
Practice Address - Phone:414-238-1374
Practice Address - Fax:262-764-9644
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABIFKA HEALTHCARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care