Individual
MR. BRAHMAIAH KOMMANABOYINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
3333 S 27TH ST, MILWAUKEE, WI 53215-4349
(414) 671-3660
Mailing address
3333 S 27TH ST, MILWAUKEE, WI 53215-4349
(414) 671-3660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15458-40
WI
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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