Individual
DR. SIVA RAMA KRISHNA CHEETIRALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
(414) 649-5296
Mailing address
2901 W KINNICKINNIC RIVER PKWY STE 305, MILWAUKEE, WI 53215-3660
(414) 649-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125069245
IL
208M00000X
Hospitalist Physician
Primary
75681
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100190065
—
WI
Enumeration date
08/28/2016
Last updated
11/18/2022
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