Organization
CENTER FOR NEUROLOGICAL DISORDERS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHUPENDRA O KHATRI M.D. (PRESIDENT)
(414) 769-4040
Entity
Organization
Contact information
Practice address
3237 S 16TH ST, MILWAUKEE, WI 53215-4526
(414) 769-4040
(414) 769-4041
Mailing address
3237 S 16TH ST, MILWAUKEE, WI 53215-4526
(414) 769-4040
(414) 769-4041
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32792200
—
WI
Enumeration date
05/18/2006
Last updated
02/09/2024
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