Organization
KAUSHALYA BENIWAL M D S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAUSHALYA BENIWAL M.D. (PRESIDENT)
(414) 282-1961
Entity
Organization
Contact information
Practice address
2745 W LAYTON AVE, SUITE 104, MILWAUKEE, WI 53221-2651
(414) 282-1961
Mailing address
2745 W LAYTON AVE, SUITE 104, MILWAUKEE, WI 53221-2651
(414) 282-1961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25201
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30621400
—
WI
Enumeration date
01/07/2010
Last updated
09/16/2025
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