Individual
KRISHNA RAOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, SUITE 315, MILWAUKEE, WI 53215-3677
(414) 385-2590
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 385-2590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
65776-20
WI
208M00000X
Hospitalist Physician
Primary
65776-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477996627
—
WI
Enumeration date
04/08/2013
Last updated
04/28/2022
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