Individual
AMIT TANEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, PULMONARY AND CRITICAL CARE MEDICINE, MILWAUKEE, WI 53226-3522
(414) 955-7040
(414) 955-6211
Mailing address
9200 W WISCONSIN AVE, PULMONARY AND CRITICAL CARE MEDICINE, MILWAUKEE, WI 53226-3522
(414) 955-7040
(414) 955-6211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036109523
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
51772
WI
207RP1001X
Pulmonary Disease Physician
51772
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639115090
—
WI
05
—
36109523
—
IL
Enumeration date
06/22/2006
Last updated
06/30/2011
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