Individual
DR. AMIT R. JHAVERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, SUITE 106, MILWAUKEE, WI 53215-3677
(414) 649-7708
(414) 649-7028
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
54946
WI
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
54946
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101136338
—
PA
Enumeration date
03/22/2006
Last updated
10/29/2024
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