Individual
MANDEEP BABBRA-KHAIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(412) 405-5035
(414) 805-6851
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-6851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
72380
WI
208M00000X
Hospitalist Physician
Primary
72380
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013449248
—
WI
Enumeration date
03/28/2017
Last updated
11/25/2024
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