Individual
KSHAMA KESHAVA BHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 W LAYTON AVE STE 10, MILWAUKEE, WI 53221-5400
(414) 281-9665
(833) 391-2172
Mailing address
19385 ASHBOURNE LN, BROOKFIELD, WI 53045-3835
(414) 369-9649
(877) 942-5742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53449-20
WI
207QB0002X
Obesity Medicine (Family Medicine) Physician
53449-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255526190
—
WI
Enumeration date
09/13/2007
Last updated
01/17/2024
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