Active NPI 1790128452 Individual Practitioner Female Practitioner

Dr. Nasreen Bowhan , MD

Dermatology • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nasreen Bowhan, MD is a certified Dermatology practicing in Madison, WI. With approximately 13 years of clinical experience since graduating from New York Medical College in 2013, Dr. Bowhan delivers high-quality medical care to the local community at 752 N HIGH POINT RD.

Dr. Bowhan is affiliated with Dean Health Systems Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

752 N High Point Rd

Madison, WI 537172236

Telephone 6088244000

Fax 6088244945

Associated Practice Facility / Clinic

🏢 Dean Health Systems, Inc. Facility NPI 1558372441

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Madison, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -2.2 yrs vs City Avg

City Avg: 15.2 Yrs

State Avg: 22.7 Yrs

Regional Practice Density

69 Specialists

Practicing in Madison, WI (337 Statewide)

Telehealth Adoption Rate

10.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bowhan (13 Years) 13 Yrs

Madison Specialty Average (15.2 Years) 15.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	403	97	$70.00	$6.32
99213 Established patient office or other outpatient visit, typically 15 minutes	272	242	$256.00	$85.37
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	257	203	$4263.00	$531.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	134	$361.00	$119.85
17000 Destruction of skin growth	133	126	$430.00	$48.99
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	107	73	$2501.00	$385.59
11102 Tangential biopsy of single skin lesion	101	89	$634.00	$78.55
17110 Destruction of up to 14 skin growths	87	80	$715.17	$97.80
17004 Destruction of precancer skin growth, 15 or more growths	49	40	$1120.00	$156.73
11103 Biopsy of related skin growth, each additional growth	49	32	$342.00	$46.09
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	42	42	$1898.00	$149.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	34	14	$5.00	$0.99
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	27	27	$6680.00	$994.56
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	23	23	$1953.00	$221.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$506.00	$169.52
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	21	19	$1860.00	$145.35
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	17	15	$3986.00	$509.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$174.00	$52.95
11104 Punch biopsy, first skin growth	15	15	$797.00	$116.94
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	14	14	$99.00	$15.40
11200 Removal of skin tag, 1-15 skin tags	13	12	$567.00	$53.42
11900 Injection into skin growth, 1-7 growths	12	11	$358.00	$40.34
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	12	12	$6376.00	$927.04
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$1760.00	$129.81
69100 Biopsy of ear	11	11	$880.00	$64.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	724	158	$55.00	$6.51
99213 Established patient office or other outpatient visit, typically 15 minutes	273	225	$236.68	$86.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	236	203	$334.92	$122.24
17000 Destruction of skin growth	224	199	$354.46	$50.92
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	171	136	$3510.64	$471.27
17110 Destruction of up to 14 skin growths	127	114	$535.17	$106.43
11102 Tangential biopsy of single skin lesion	122	108	$522.02	$83.59
17004 Destruction of precancer skin growth, 15 or more growths	88	68	$923.00	$161.87
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	49	37	$2057.73	$395.28
11103 Biopsy of related skin growth, each additional growth	39	24	$284.46	$47.34
96900 Application of ultraviolet light to skin	35	11	$88.00	$23.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	32	$164.00	$53.98
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	33	32	$1590.33	$265.37
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	31	30	$5566.00	$1023.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$336.00	$106.25
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	25	25	$4558.00	$860.04
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$226.00	$69.06
11900 Injection into skin growth, 1-7 growths	21	11	$267.52	$48.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$513.00	$158.47
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	19	19	$1468.79	$156.18
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	19	17	$3265.58	$530.70
11200 Removal of skin tag, 1-15 skin tags	17	17	$462.94	$66.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	11	$110.00	$13.59
17111 Destruction of skin growth, 15 or more growths	16	15	$636.81	$119.64
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$1197.53	$117.37
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	15	$106.00	$22.30
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$1466.00	$142.23
69100 Biopsy of ear	14	14	$764.36	$69.43
36415 Insertion of needle into vein for collection of blood sample	14	12	$40.00	$8.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$470.77	$171.36
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	13	13	$5313.00	$915.67
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$1526.27	$230.08
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	11	11	$967.73	$151.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	961	167	$53.00	$6.61
99213 Established patient office or other outpatient visit, typically 15 minutes	326	249	$212.00	$87.00
17000 Destruction of skin growth	252	205	$348.00	$51.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	133	$314.00	$122.34
11102 Tangential biopsy of single skin lesion	129	115	$513.00	$92.83
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	113	98	$3449.00	$524.87
17110 Destruction of up to 14 skin growths	108	92	$578.47	$104.94
17004 Destruction of precancer skin growth, 15 or more growths	62	45	$913.00	$163.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	55	$150.00	$53.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$308.00	$106.60
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	46	12	$5.00	$1.16
11103 Biopsy of related skin growth, each additional growth	45	26	$290.00	$49.57
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	42	33	$2024.00	$395.39
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	36	34	$1556.00	$236.58
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$223.00	$69.65
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	22	20	$2945.00	$525.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$470.00	$159.31
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	21	21	$1402.00	$153.44
36415 Insertion of needle into vein for collection of blood sample	21	15	$39.00	$2.97
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	16	$1179.00	$118.00
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	19	19	$4512.00	$877.88
11104 Punch biopsy, first skin growth	17	17	$645.00	$123.17
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	17	$106.00	$22.39
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	13	13	$5510.00	$1028.60
69100 Biopsy of ear	12	12	$751.00	$77.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,202	172	$60.00	$6.39
99213 Established patient office or other outpatient visit, typically 15 minutes	274	208	$201.00	$88.27
17000 Destruction of skin growth	264	200	$339.00	$52.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	119	$295.00	$124.84
11102 Tangential biopsy of single skin lesion	136	109	$499.00	$92.86
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	117	95	$3361.00	$549.37
17110 Destruction of up to 14 skin growths	83	73	$561.98	$104.61
96900 Application of ultraviolet light to skin	73	12	$84.00	$22.34
17004 Destruction of precancer skin growth, 15 or more growths	69	52	$1049.00	$160.67
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	62	23	$102.00	$22.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	48	$144.00	$54.39
11103 Biopsy of related skin growth, each additional growth	51	27	$305.00	$51.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$296.00	$107.87
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	43	35	$1972.00	$399.08
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	28	$1414.00	$245.22
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	26	19	$2887.00	$468.40
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	24	23	$1374.00	$160.14
36415 Insertion of needle into vein for collection of blood sample	21	12	$35.00	$3.00
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$214.00	$70.18
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	17	11	$86.00	$6.47
69100 Biopsy of ear	15	14	$687.00	$70.62
11104 Punch biopsy, first skin growth	12	11	$628.00	$121.30
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	12	11	$4423.00	$851.06
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$1155.00	$120.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,161	162	$59.00	$5.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	256	205	$281.00	$105.60
17000 Destruction of skin growth	227	183	$308.00	$53.17
99213 Established patient office or other outpatient visit, typically 15 minutes	162	133	$191.00	$72.26
11102 Tangential biopsy of single skin lesion	93	83	$454.00	$90.13
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	83	71	$3055.00	$551.45
99202 New patient office or other outpatient visit, typically 20 minutes	76	76	$204.00	$72.71
17004 Destruction of precancer skin growth, 15 or more growths	63	56	$1038.00	$154.34
96900 Application of ultraviolet light to skin	61	12	$76.00	$21.48
17110 Destruction of up to 14 skin growths	61	51	$510.48	$105.48
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	55	37	$1793.00	$389.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$282.00	$104.26
11103 Biopsy of related skin growth, each additional growth	28	18	$302.00	$51.73
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	27	25	$1399.00	$284.62
36415 Insertion of needle into vein for collection of blood sample	25	15	$32.00	$2.99
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	22	22	$1359.00	$161.77
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	16	16	$4375.00	$818.79
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$1142.00	$120.67
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	14	14	$1333.00	$188.15
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	13	$1305.00	$137.48
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	13	13	$882.00	$151.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$137.00	$44.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	946	171	$64.85	$5.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	244	213	$275.88	$103.61
17000 Destruction of skin growth	240	202	$283.21	$51.06
99213 Established patient office or other outpatient visit, typically 15 minutes	203	177	$186.43	$70.88
99202 New patient office or other outpatient visit, typically 20 minutes	128	128	$202.98	$72.42
11102 Tangential biopsy of single skin lesion	120	110	$469.86	$89.11
17110 Destruction of up to 14 skin growths	78	62	$318.60	$104.99
96900 Application of ultraviolet light to skin	67	11	$77.00	$20.52
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	66	58	$3008.00	$600.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$270.04	$102.95
88305 Pathology examination of tissue using a microscope, intermediate complexity	53	44	$807.00	$66.82
11103 Biopsy of related skin growth, each additional growth	35	25	$339.00	$50.77
17004 Destruction of precancer skin growth, 15 or more growths	27	24	$1038.00	$144.75
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	25	17	$1827.00	$376.57
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	25	25	$814.00	$277.70
11900 Injection into skin growth, 1-7 growths	16	12	$308.00	$50.09
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	16	14	$1015.00	$187.33
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$1041.00	$117.85
11104 Punch biopsy, first skin growth	14	14	$595.00	$118.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	833	157	$65.00	$5.18
17000 Destruction of skin growth	223	195	$286.00	$55.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	190	169	$273.00	$107.04
99213 Established patient office or other outpatient visit, typically 15 minutes	180	156	$184.00	$73.14
11100 Biopsy of single growth of skin and/or tissue	161	145	$507.00	$101.59
88305 Pathology examination of tissue using a microscope, intermediate complexity	126	85	$791.00	$69.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$267.00	$107.11
99202 New patient office or other outpatient visit, typically 20 minutes	73	73	$199.00	$74.77
11101 Biopsy of each additional growth of skin and/or tissue	48	37	$209.00	$32.44
17110 Destruction of up to 14 skin growths	44	39	$311.30	$109.20
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	31	26	$3005.00	$543.49
17004 Destruction of precancer skin growth, 15 or more growths	28	26	$902.00	$143.77
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	20	$810.14	$295.38
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	21	$1183.00	$141.99
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	14	$732.00	$142.68
88304 Pathology examination of tissue using a microscope, moderately low complexity	14	12	$666.00	$41.30
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	13	13	$821.00	$184.18
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	11	11	$913.00	$269.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	224	46	$65.00	$5.27
11100 Biopsy of single growth of skin and/or tissue	73	71	$507.00	$96.82
17000 Destruction of skin growth	58	56	$286.00	$46.00
99213 Established patient office or other outpatient visit, typically 15 minutes	41	40	$180.00	$68.68
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$199.00	$71.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$267.00	$102.92
11101 Biopsy of each additional growth of skin and/or tissue	26	22	$209.00	$30.98
17110 Destruction of up to 14 skin growths	12	12	$312.00	$105.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$261.00	$95.13

Medical Specialties & State Licenses

CMS Verified: 2020-11-04

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WI 67315-20

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1790128452 (WI)

Hospital & Practice Group Affiliations

Dean Health Systems Inc

1821 S Stoughton Rd, Madison, WI 537162257

Phone: 6082606000

Dean Health Systems Inc

700 S Park St, Madison, WI 537151830

Phone: 6082602900

Dean Health Systems Inc

700 S Park St, Madison, WI 537151830

Phone: 6082516100

Dean Health Systems Inc

515 22nd Ave, Monroe, WI 535661569

Phone: 6083242000

Dean Health Systems Inc

752 N High Point Rd, Madison, WI 537172236

Phone: 6088244000

Secondary Practice Locations

1313 Fish Hatchery Rd

Madison, WI 537151911

Phone: 6082528000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. David Falk , MD

Dermatology

NPI 1003868050

Doctor of Medicine (M.D.)

Dr. Julia Thorsen , MD

Allergy & Immunology

NPI 1023402153

Doctor of Medicine (M.D.)

Dr. Milton Johnson , MD

Emergency Medicine

NPI 1033153168

Doctor of Medicine (M.D.)

Sarah Oliver , PA-C

Physician Assistant

NPI 1033297262

Physician Assistant (Certified)

Dr. Grant Macaulay , MD

Internal Medicine

NPI 1053360719

Doctor of Medicine (M.D.)

Dr. Jui Haker , MD

Preventive Medicine - Occupational Medicine

NPI 1053637090

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Practice Location December 31, 2019

Registered at 752 N HIGH POINT RD, MADISON, WI 537172236 (Tel: 6088244000)

📍

Updated Business Mailing Address December 31, 2019

Registered at 1808 W BELTLINE HWY, MADISON, WI 537132334 (Tel: 6082501497)

📍

Updated Business Mailing Address April 09, 2018

Registered at 1313 FISH HATCHERY RD, MADISON, WI 537151911 (Tel: 6082528000)

✅

NPI Profile Active December 22, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 22, 2017

Registered at 1313 FISH HATCHERY RD, MADISON, WI 537151911 (Tel: 6082528000)

📍

Updated Business Mailing Address December 22, 2017

Registered at 1808 W BELTLINE HWY, MADISON, WI 537132334 (Tel: 6082804647)

👤

Provider Name / Credentials Updated December 22, 2017

Recorded as NASREEN BOWHAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2017

Dermatology (License #67315-20 in WI)

✅

NPI Profile Active January 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 08, 2016

Registered at 18100 OAKWOOD BLVD, SUITE 300, DEARBORN, MI 481244085 (Tel: 3132404900)

📍

Updated Business Mailing Address January 08, 2016

Registered at 18100 OAKWOOD BLVD, SUITE 300, DEARBORN, MI 481244085 (Tel: 3132404900)

👤

Provider Name / Credentials Updated January 08, 2016

Recorded as NASREEN BOWHAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2016

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration April 12, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790128452

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 12, 2013

Last Update: November 04, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1808 W Beltline Hwy

Madison, WI 537132334

Phone: 6082501497

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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