Individual
AMIT SINGH BAKSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036124040
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036124040
—
IL
01
—
P00816348
MEDICARE RAILROAD
IL
Enumeration date
08/28/2008
Last updated
04/01/2011
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