FARZANEH MASOOL TONDKAR M.D. NPI 1689811861

NPI Information

  • NPI: 1689811861
  • Provider Name: FARZANEH MASOOL TONDKAR, M.D.
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • Address: 10731 W FOREST HOME AVE
    HALES CORNERS, WI
    ZIP 53130
  • Phone: (414) 529-4600

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NPI Details

Farzaneh Masool Tondkar, M.D. is an addiction medicine family medicine in Hales Corners, WI. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Farzaneh Masool Tondkar, M.D. NPI is 1689811861. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10731 W FOREST HOME AVE
HALES CORNERS, WI
ZIP 53130-555
Phone: (414) 529-4600
Fax: (414) 529-4689

The enumeration date for this NPI number is 1/9/2009 and was last updated on 10/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice52372020WISCONSINNo
2207QA0401XFamily MedicineAddiction Medicine52372020WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11434MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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