Individual
RAKESH MARREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-0855
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-0855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
73396
WI
208M00000X
Hospitalist Physician
Primary
73396
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036151720
—
IL
05
—
1386176659
—
WI
Enumeration date
03/28/2017
Last updated
03/22/2023
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