Individual
DR. AMIT ISHWAR BHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8701 W WATERTOWN PLANK RD, DEPARTMENT OF PSYCHIATRY & BEHAVIORAL MEDICINE, MILWAUKEE, WI 53226-3548
(414) 955-8998
(414) 955-6299
Mailing address
8701 W WATERTOWN PLANK RD, DEPARTMENT OF PSYCHIATRY & BEHAVIORAL MEDICINE, MILWAUKEE, WI 53226-3548
(414) 955-8998
(414) 955-6299
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
62680-20
WI
208D00000X
General Practice Physician
62680-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2013
Last updated
09/08/2014
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