Individual
DR. BRAHM S VASUDEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 805-9050
(414) 805-9059
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-9050
(414) 805-9059
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
45097
WI
207RN0300X
Nephrology Physician
R0804
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588616155
—
WI
Enumeration date
05/16/2006
Last updated
05/16/2018
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