Individual
CHHITIZ SUBEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB,BS
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0812
(414) 805-0855
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0812
(414) 805-0855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
70503
WI
208M00000X
Hospitalist Physician
Primary
70503
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619328200
—
WI
Enumeration date
06/25/2016
Last updated
07/18/2019
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