Individual
DR. HEMA KAMTHAMNENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 219-5219
Mailing address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 219-5219
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301096077
MI
207Q00000X
Family Medicine Physician
Primary
72073
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
72073
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100094308
—
WI
Enumeration date
08/09/2010
Last updated
12/02/2021
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