Individual
RAKESH WAGHRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3201 S 16TH ST, 2015, MILWAUKEE, WI 53215-4537
(414) 649-3810
Mailing address
PO BOX 070520, MILWAUKEE, WI 53207-0520
(262) 240-0841
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
39828
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32463600
—
WI
Enumeration date
07/06/2006
Last updated
07/24/2015
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