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

Individual provider Marriage & Family Therapist · NPI 1104179019

Dr. Farrukh Ghazala, MD is a Marriage and Family Therapist in Milwaukee, Wisconsin. Qualified in 1989, 37 years ago. Practices with Shorehaven Behavioral Health Inc, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
37
Licensed in
WI
In the registry since
2012
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

3200 W Highland Blvd
Milwaukee, WI 53208-3252
Phone: (414) 342-4560
Fax: (414) 342-5326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 298-228 (WI)

Record details

NPI number1104179019
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2012
Last updated in NPPESSeptember 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Shorehaven Behavioral Health Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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