Provider Demographics
NPI:1992974174
Name:MUSEITIF, RAAID I (MD)
Entity type:Individual
Prefix:DR
First Name:RAAID
Middle Name:I
Last Name:MUSEITIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6121 GREEN BAY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53142-2931
Mailing Address - Country:US
Mailing Address - Phone:262-359-1652
Mailing Address - Fax:262-764-7577
Practice Address - Street 1:6308 8TH AVE
Practice Address - Street 2:SUITE 3060
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53143-5031
Practice Address - Country:US
Practice Address - Phone:262-656-3650
Practice Address - Fax:262-656-3672
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI45622207RC0000X, 207RI0011X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1992974174Medicaid
322500115Medicare PIN