Individual
KATHLEEN Y BHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3750
(414) 259-9290
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3750
(414) 259-9290
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
036-111415
IL
2085B0100X
Body Imaging Physician
75744
WI
2085R0202X
Diagnostic Radiology Physician
036-111415
IL
2085R0202X
Diagnostic Radiology Physician
Primary
75744
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111415
—
IL
01
—
P00445853
RAILROAD MEDICARE
IL
Enumeration date
04/18/2007
Last updated
07/29/2021
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